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  1. eCQM Issue Tracker
  2. CQM-7238

CMS135v12 - NUM (medicationActive relevantPeriod)

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      Thank you for inquiry about CMS135v12. For a patient to meet the numerator for this measure, they must have an active ACE/ARB/ARNI overlapping the day of Moderate or Severe LVSD HF Encounter or an order placed for the medication on the day of the Moderate or Severe LVSD HF Encounter. A stop date is not required for this to fulfill the requirements of Currently Taking ACEI or ARB or ARNI. If there is a medication end date, it should be entered; however, if the end date is after the Moderate or Severe LVSD HF encounter, it should not affect satisfaction of the numerator. If the medication is active throughout the measurement period, the relevant period will not have an end date, so this date can be entered as “NULL.”
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      Thank you for inquiry about CMS135v12. For a patient to meet the numerator for this measure, they must have an active ACE/ARB/ARNI overlapping the day of Moderate or Severe LVSD HF Encounter or an order placed for the medication on the day of the Moderate or Severe LVSD HF Encounter. A stop date is not required for this to fulfill the requirements of Currently Taking ACEI or ARB or ARNI. If there is a medication end date, it should be entered; however, if the end date is after the Moderate or Severe LVSD HF encounter, it should not affect satisfaction of the numerator. If the medication is active throughout the measurement period, the relevant period will not have an end date, so this date can be entered as “NULL.”
    • CMS0135v13
    • CMS0135v12

      Hello,
      I'm dealing with a situation in CMS135 (Heart Failure: ACEI or ARB or ARNI Therapy) where the numerator (NUM) calculation is affected by the medication’s relevantPeriod, specifically when a stop date is not defined in the EHR data. This is common when medications are added to the medication list without explicitly setting an end or stop date, as often happens in real-world clinical settings.

      Question:
      1. Does relevant period always require a defined high value?
      2. Can the high value be set as NULL?

      I am attaching 2 QRDA1 that are generated without defining the medication stop time in the EHR and both of these fall into DENOM only for CMS135v12

      No stop 1:
      QRDA_I_Hollis_Jones_nostop135.xml

      No stop 2 (UNK)
      QRDA_I_Hollis_Jones_unkstop.xml

        1. QRDA_I_Hollis_Jones_nostop135.xml
          55 kB
        2. QRDA_I_Hollis_Jones_unkstop.xml
          56 kB

            AIR EC eCQM Team AIR EC eCQM Team
            staxfu Steven Futo
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