CMS 68 Eligible clinicians (Documentation of Medications in the Medical Record)

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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      Thank you for your inquiry regarding CMS68v14. The eCQM is not prescriptive regarding which eligible clinician providers should report on performance. However, any provider who documents under a ‘Qualifying Encounter’ code (HCPCS, CPT, SNOMEDCT) included in Value Set ‘Encounter to Document Medications’ (OID 2.16.840.1.113883.3.600.1.1834) would be included as a qualified reporter for this measure. This value set includes codes such as ‘Psychotherapy, 30 minutes with patient’ (CPT 90832) and ‘Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care’ (CPT 59400), which could encompass your examples of LCSW and OBGYN providers. It is important to clarify, only a MIPS eligible clinician can attest to the documentation of medications, but they do not necessarily need to be the clinician who documents current medications during the encounter. For specific MIPS Program reporting questions, please feel free to contact the Quality Payment Program Service Center by email at QPP@cms.hhs.gov or by creating a QPP Service Center ticket here: https://cmsqualitysupport.servicenowservices.com/ccsq_support_central.
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      Thank you for your inquiry regarding CMS68v14. The eCQM is not prescriptive regarding which eligible clinician providers should report on performance. However, any provider who documents under a ‘Qualifying Encounter’ code (HCPCS, CPT, SNOMEDCT) included in Value Set ‘Encounter to Document Medications’ (OID 2.16.840.1.113883.3.600.1.1834) would be included as a qualified reporter for this measure. This value set includes codes such as ‘Psychotherapy, 30 minutes with patient’ (CPT 90832) and ‘Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care’ (CPT 59400), which could encompass your examples of LCSW and OBGYN providers. It is important to clarify, only a MIPS eligible clinician can attest to the documentation of medications, but they do not necessarily need to be the clinician who documents current medications during the encounter. For specific MIPS Program reporting questions, please feel free to contact the Quality Payment Program Service Center by email at QPP@cms.hhs.gov or by creating a QPP Service Center ticket here: https://cmsqualitysupport.servicenowservices.com/ccsq_support_central .
    • CMS0068v14
    • CMS0068v13

      Dear eCQM support,

      Could you please clarify the eligible clinicians for documenting medications in the medical record of the CMS 68 measure? Is it correct to interpret that non-primary care clinicians - e.g. LCSWs, chiropractors, dentists, specialty care providers, OBGYN providers, etc. - without panels of patients are not eligible or required to document the review of medications at qualifying encounters? Is it correct to interpret that only clinicians involved with primary care services - e.g. PCPs and nursing staff - are eligible to document the review/reconciliation of medications?

      Thanks,
      Lixin

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Lixin Zhang
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