Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7438

CMS 69 v12

XMLWordPrintable

    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Hide
      Thank you for inquiring about the CMS69v.12 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan measure. To address your initial question, there are multiple ways to make it into the numerator:

      If the patient has a diagnosis of an abnormal BMI (whether a measured BMI number or documented diagnosis) and follow-up is documented (and directly associated with the abnormal result); or

      If the patient has a normal BMI.

       
      For intervention performed, since the operator “overlaps before” is used, the diagnosis must have been documented before the follow-up (and still be ongoing at the time of the follow-up intervention), and then the follow-up must also explicitly indicate that it was related to the abnormal BMI diagnosis.
      Show
      Thank you for inquiring about the CMS69v.12 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan measure. To address your initial question, there are multiple ways to make it into the numerator: If the patient has a diagnosis of an abnormal BMI (whether a measured BMI number or documented diagnosis) and follow-up is documented (and directly associated with the abnormal result); or If the patient has a normal BMI.   For intervention performed, since the operator “overlaps before” is used, the diagnosis must have been documented before the follow-up (and still be ongoing at the time of the follow-up intervention), and then the follow-up must also explicitly indicate that it was related to the abnormal BMI diagnosis.
    • CMS0069v12
    • Measure calculations may be incorrect

      Can you please confirm that in order to meet the numerator criteria, is a diagnosis OR a reason required if the patient's BMI is above normal in additon to the follow up?

      Also, does the diagnosis have to be entered prior to the follow up being provided?

      ( ["Intervention, Performed": "Follow Up for Above Normal BMI"] HighInterventionsPerformed
      where HighInterventionsPerformed.reason in "Overweight or Obese"
      or ( exists ["Diagnosis": "Overweight or Obese"] OverweightObese
      where OverweightObese.prevalencePeriod overlaps before Global."NormalizeInterval" ( HighInterventionsPerformed.relevantDatetime, HighInterventionsPerformed.relevantPeriod )
      )

            AIR EC eCQM Team AIR EC eCQM Team
            k.rouantree@nextech.com Kaitlin Rouantree
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: