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EC eCQMs - Eligible Clinicians
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Resolution: Referred to External Party for Resolution
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Moderate
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None
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None
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Jessica Coyne
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845-656-3871
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NewYork-Presbyterian
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CMS0002v13
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Preparing for PCMH reporting in 2025
I had a question related to the CMS-2 (depression screening measure) & was hoping you might be able to provide some guidance.
My question is specific to the measure in the scope of NCQA's Patient Centered Medical Home recognition program, regarding the PHQ screening & where the screening must be completed.
In order for screening to be captured & credited to us, does the screening have to be completed by the PCP attributed provider or within that provider's practice? For example, if the patient was screened for depression by a social worker w/in our TIN on 6/3/2024 and had a PCP visit on 6/14/2024, would this count as meeting the measure because the patient was screened within the 14 day window?
Or does the screening have to be done by the PCP/PCP department on the 6/14 encounter?
Note that in this example the patient was only screened on 6/3 (not on 6/14) and the patient screened negative for depression.
If the 6/3 screening does not count, can you please explain why? Our rationale is that efforts may be duplicated.
I will appreciate any guidance you can provide.