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  1. eCQM Issue Tracker
  2. CQM-7303

142v13 Numerator Clarification

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      Thanks for your inquiry. There aren’t codes that describe the specific communications that are relevant for this measure. The measure requires documentation in the medical record indicating that the findings of the dilated macular or fundus exam, which should include the level of severity of diabetic retinopathy and the presence or absence of macular edema, were communicated with the clinician managing the patient’s ongoing diabetic care. Communication, Performed in the measure logic represents the transmission, receipt, or acknowledgement of information sent from a source to a recipient, such as from one clinician to another, regarding findings, assessments, plans of care, consultative advice, instructions, and educational resources. The findings of the dilated macular or fundus exam and communication to the physician managing the ongoing diabetes care will satisfy the measure’s numerator. Please let us know if you have any further questions.
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      Thanks for your inquiry. There aren’t codes that describe the specific communications that are relevant for this measure. The measure requires documentation in the medical record indicating that the findings of the dilated macular or fundus exam, which should include the level of severity of diabetic retinopathy and the presence or absence of macular edema, were communicated with the clinician managing the patient’s ongoing diabetic care. Communication, Performed in the measure logic represents the transmission, receipt, or acknowledgement of information sent from a source to a recipient, such as from one clinician to another, regarding findings, assessments, plans of care, consultative advice, instructions, and educational resources. The findings of the dilated macular or fundus exam and communication to the physician managing the ongoing diabetes care will satisfy the measure’s numerator. Please let us know if you have any further questions.
    • CMS0143v13

      When I look at this spec and reviewed the codes in the specifications for eCQM 19, I do not see  communication codes, only findings. 

      The numerator states that the finding should be via communication to the physician who manages the patient's diabetic care.  

      2 questions:

      1. Why are there no communication codes

      2. are we to assume that a finding is there that the communication was done by the provider who manages the patient's diabetic care?  

            AIR EC eCQM Team AIR EC eCQM Team
            tkalra Tara
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