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  1. eCQM Issue Tracker
  2. CQM-7297

Will Claim Data satisfy Breast Cancer Screening Measure?

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      Thank you for your question regarding CMS125v13. Please note that eCQMs typically do not use claims data. Please review the measure specification for further details about measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS125v13.html. If you need assistance reading an eCQM, please refer to the resources available at eCQI Resource Center, such as "Guide for Reading eCQMs" or "Implementation Checklist eCQM Annual Update": https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs. For inquiries about CMS quality program reporting requirements or other quality measure collection types (e.g., MIPS CQM), please contact the QPP Helpdesk at QPP@cms.hhs.gov.
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      Thank you for your question regarding CMS125v13. Please note that eCQMs typically do not use claims data. Please review the measure specification for further details about measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS125v13.html . If you need assistance reading an eCQM, please refer to the resources available at eCQI Resource Center, such as "Guide for Reading eCQMs" or "Implementation Checklist eCQM Annual Update": https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs . For inquiries about CMS quality program reporting requirements or other quality measure collection types (e.g., MIPS CQM), please contact the QPP Helpdesk at QPP@cms.hhs.gov .
    • CMS0125v13
    • Not measure related

      Hello,  We would like to know if we can use claim data for mammogram results to count in the Breast Cancer Screening measure numerator.  

      If the pt had an outside mammogram and we can pull this via their claim data, will this count as meeting the breast cancer screening measure?

      Thank you! 

            AIR EC eCQM Team AIR EC eCQM Team
            torhon@mfa.gwu.edu Tulay
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