Thank you for your question regarding CMS71 STK-3: Anticoagulation Therapy for Atrial Fibrillation/Flutter. The patient having the Watchman procedure during the encounter can be tied to the denominator exception if there is documentation authored during the encounter that the Watchman procedure is the reason for not prescribing anticoagulation therapy at discharge, (value set "Medical Reason for Not Providing Treatment" 2.16.840.1.113883.3.117.1.7.1.473).

Patient who had Watchman Procedure is in Denominator for STK-3. There is no need for anticoagulant if a patient who had a. fibrillation underwent Watchman procedure. The Watchman should exclude the patient from the measure. This is affecting the eCQM compliance rate.