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  2. CQM-7497

CMS2v13 - Questioning why codes for antepartum care only and postpartum care only are not included in measure.

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Beth McPeak
    • 6058522815
    • Rural Health Care Inc.
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      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. We agree that the intent was not to exclude providers who only provide antepartum or postpartum care. Our team will review the available codes across all terminologies as part of the CMS Annual Update process and refine value sets, where necessary, to align with the measure intent.
      Show
      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. We agree that the intent was not to exclude providers who only provide antepartum or postpartum care. Our team will review the available codes across all terminologies as part of the CMS Annual Update process and refine value sets, where necessary, to align with the measure intent.
    • CMS0002v13
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      The CMS code set for the depression screening measure includes 4 codes for antepartum care + delivery + postpartum care, but does not include codes for antepartum care only (59425 or 59426) or for postpartum care only (59430).We do not perform deliveries directly, so do not bill the delivery, but have a large amount of patients who see us for both the antepartum and postpartum care who I feel should be included in the measure but their visit codes are not pulling them in because our report was set up to match the CMS code set. This has a significant impact on our overall performance on the measure. The work is being done on the clinical end and should be recognized.
      Show
      The CMS code set for the depression screening measure includes 4 codes for antepartum care + delivery + postpartum care, but does not include codes for antepartum care only (59425 or 59426) or for postpartum care only (59430).We do not perform deliveries directly, so do not bill the delivery, but have a large amount of patients who see us for both the antepartum and postpartum care who I feel should be included in the measure but their visit codes are not pulling them in because our report was set up to match the CMS code set. This has a significant impact on our overall performance on the measure. The work is being done on the clinical end and should be recognized.

      The CMS code set for the depression screening measure includes 4 codes for antepartum care + delivery + postpartum care, but does not include codes for antepartum care only (59425 or 59426) or for postpartum care only (59430).We do not perform deliveries directly, so do not bill the delivery, but have a large amount of patients who see us for both the antepartum and postpartum care who I feel should be included in the measure but their visit codes are not pulling them in because our report was set up to match the CMS code set. 

            AIR EC eCQM Team AIR EC eCQM Team
            bethm2010 Beth McPeak (Inactive)
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