Clarification on Measures - CMS Directed me Here

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Sherie Friedrich
    • 6034985674
    • MediTelecare
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      Thank you for your inquiry regarding CMS2v14 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan). We appreciate your patience as we resumed operations.

      Regarding Question 1, this measure evaluates the care of a patient and assigns the patient in one or more measure segments or populations. When reporting using the eCQM data collection method, if all providers share an EHR system, the overall care of patient would be attributed to all providers, not per individual episode with each provider.

      For Question 2, we are only able to respond to questions related to eCQMs through this system, as questions related to the CQMs (MIPS QID#290, 286, 291, 047) can be answered through the QPP Service Center. For the eCQM data collection type for MIPS QID#134 (CMS2v14), documentation of the medical or patient reason for not screening for depression during one visit will be considered an exception for the reporting period as long as they do not receive a depression screening at a subsequent visit during the reporting period. The measure would then consider this screening and any follow up actions when calculating the numerator.

      Please contact the QPP Service Center at QPP@cms.hhs.gov for further assistance with reporting and Question 2. You will be contacted by their team, and assigned a customer service representative who will work to resolve your inquiry.
      Show
      Thank you for your inquiry regarding CMS2v14 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan). We appreciate your patience as we resumed operations. Regarding Question 1, this measure evaluates the care of a patient and assigns the patient in one or more measure segments or populations. When reporting using the eCQM data collection method, if all providers share an EHR system, the overall care of patient would be attributed to all providers, not per individual episode with each provider. For Question 2, we are only able to respond to questions related to eCQMs through this system, as questions related to the CQMs (MIPS QID#290, 286, 291, 047) can be answered through the QPP Service Center. For the eCQM data collection type for MIPS QID#134 (CMS2v14), documentation of the medical or patient reason for not screening for depression during one visit will be considered an exception for the reporting period as long as they do not receive a depression screening at a subsequent visit during the reporting period. The measure would then consider this screening and any follow up actions when calculating the numerator. Please contact the QPP Service Center at QPP@cms.hhs.gov for further assistance with reporting and Question 2. You will be contacted by their team, and assigned a customer service representative who will work to resolve your inquiry.
    • CMS0002v14

      I am requesting information to best interpret reporting requirements for providers in my practice. This year we will be filing MIPS across several states with small groups of providers (NP's/PHDs/LICSWs) in each group. In many instances our patients receive care from more than one of our providers (visits may be conducted by a therapist and nurse practitioner for example).

      Question 1:

      If one provider in the group satisfies a measure we are using, does the other provider also need to satisfy that measure or is it captured by the fact that another provider within the group satisfied it?

      Example:

      Patient is seen by both a therapist and a nurse practitioner and the patient is eligible for MIPS Measure 134. The therapist completes a depression screen and appropriate follow up plan and meets criteria for Measure 134. Does the nurse practitioner who is within the same group and also seeing that same patient therefore meet that measure by default? Or, do they also need to complete the depression screen and follow up?

      Question 2

      If a patient is identified as an exception during one visit, are they then considered an exception for entire reporting period or might they become eligible again for each subsequent visit after they were identified as an exception? "

      For measures,

      290- Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease

      286-Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia

      291- Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease

      134- Preventive Care and Screening: Screening for Depression and Follow-Up Plan

      047- Advance Care Plan

      Thank you

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Sherie Friedrich (Inactive)
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              Updated:
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