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  1. eCQM Issue Tracker
  2. CQM-7469

cms 135 clarification

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Mary Aitken
    • 6095293486
    • HCIS
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      Thank you for reaching out with your question about CMS135v12. According to the measure steward, the American Heart Association (AHA), the IPP must be for 2 qualifying outpatient encounters during the measurement period and that at least one of those (2nd or later visit) must have a documented diagnosis of heart on or before the day of the encounter. This measure was revised to be an outpatient only measure for eCQM updates for CY 2023. The CQM captures both populations still as does the PQM measure.
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      Thank you for reaching out with your question about CMS135v12. According to the measure steward, the American Heart Association (AHA), the IPP must be for 2 qualifying outpatient encounters during the measurement period and that at least one of those (2nd or later visit) must have a documented diagnosis of heart on or before the day of the encounter. This measure was revised to be an outpatient only measure for eCQM updates for CY 2023. The CQM captures both populations still as does the PQM measure.
    • CMS0135v12
    • Question about IPP for cms 135- Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

      We are looking for clarification on measure CMS 135 According to the specs both outpatient or hospital discharges are qualifying encounters but the IPP requires 2 encounters. Does the need for 2 qualifying encounters also apply to hospital discharges? This measure is part of the hospitalist measure set yet we are finding that are not 2 qualifying encounters for the same hospitalist NPI

            AIR EC eCQM Team AIR EC eCQM Team
            maryaitken Mary Aitken
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