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  2. CQM-7424

Question re: Diabetes Eye Exam numerator criteria

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Christal Mandella
    • 6672392902
    • LifeBridge Health
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      Thank you for your inquiry regarding CMS131v13 for 2025 Performance Period. According to the measure steward, the National Committee for Quality Assurance (NCQA), for patients with no diagnosis of retinopathy, the Numerator criteria require a retinal or dilated eye exam to be performed in the measurement period or in the year prior to the measurement period. The measurement period is defined as the full calendar year, running from January 1, 20XX through December 31, 20XX.
      Show
      Thank you for your inquiry regarding CMS131v13 for 2025 Performance Period. According to the measure steward, the National Committee for Quality Assurance (NCQA), for patients with no diagnosis of retinopathy, the Numerator criteria require a retinal or dilated eye exam to be performed in the measurement period or in the year prior to the measurement period. The measurement period is defined as the full calendar year, running from January 1, 20XX through December 31, 20XX.
    • CMS0131v13
    • CMS0131v12
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      Need to understand how to build our provider notifications in EMR appropriately without overburdening clinicians
      Show
      Need to understand how to build our provider notifications in EMR appropriately without overburdening clinicians

      Hi there! Just looking for some further clarification about the diabetic eye exam numerator for patients with no diagnosis of retinopathy.

       

      The measure says for these patients to have an eye exam in the measurement period or in the year prior. Is that the full calendar year prior, or a year prior to the date of the encounter?

            AIR EC eCQM Team AIR EC eCQM Team
            cmandella Christal Mandella
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