Issue with Depression Screening only meeting measure on charged visit

XMLWordPrintable

    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • 904-880-5522
    • Ackerman Cancer Center
    • Hide
      Thank you for your inquiry on the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. The value sets used for the qualifying encounters include concepts that represent wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted. While some of these codes are billable (CPT or HCPCS), others are SNOMED CT codes. You may want to review your mappings with your data reporting vendor to ascertain whether it is appropriate for any of your patient-facing, no charge visits to be mapped to any of these SNOMED CT concepts, which would allow providers to receive credit for completed depression screens, as the measure requires the screen to be completed on the date of the qualifying encounter or up to 14 calendar days prior to the date of the qualifying encounter. Please refer to "Encounter to Screen for Depression (2.16.840.1.113883.3.600.1916) value set available in the Value Set Authority Center (VSAC) (https://vsac.nlm.nih.gov/).

      The VSAC is a central repository for the official versions of value sets included in eCQMs. The National Library of Medicine (NLM) maintains the VSAC, provides downloadable access to the value sets, and updates versions of the terminology code systems used in CMS quality programs at least once each year. Access to eCQM value sets in VSAC requires a free Unified Medical Language System® (UMLS) license (https://www.nlm.nih.gov/vsac/support/usingvsac/requestumlslicense.html). NLM will review your license request within three business days. Once your request is approved, NLM will send you an email with more information, and you will be able to sign in to services that require a UMLS Metathesaurus License.
      Show
      Thank you for your inquiry on the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. The value sets used for the qualifying encounters include concepts that represent wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted. While some of these codes are billable (CPT or HCPCS), others are SNOMED CT codes. You may want to review your mappings with your data reporting vendor to ascertain whether it is appropriate for any of your patient-facing, no charge visits to be mapped to any of these SNOMED CT concepts, which would allow providers to receive credit for completed depression screens, as the measure requires the screen to be completed on the date of the qualifying encounter or up to 14 calendar days prior to the date of the qualifying encounter. Please refer to "Encounter to Screen for Depression (2.16.840.1.113883.3.600.1916) value set available in the Value Set Authority Center (VSAC) ( https://vsac.nlm.nih.gov/ ). The VSAC is a central repository for the official versions of value sets included in eCQMs. The National Library of Medicine (NLM) maintains the VSAC, provides downloadable access to the value sets, and updates versions of the terminology code systems used in CMS quality programs at least once each year. Access to eCQM value sets in VSAC requires a free Unified Medical Language System® (UMLS) license ( https://www.nlm.nih.gov/vsac/support/usingvsac/requestumlslicense.html ). NLM will review your license request within three business days. Once your request is approved, NLM will send you an email with more information, and you will be able to sign in to services that require a UMLS Metathesaurus License.
    • CMS0002v15
    • CMS0071v14
    • Due to this issue, we are not receiving credit toward collecting #134, Preventive Care and Screening: Screening for Depression and Follow-Up Plan

      I reached out to CMS regarding this issue and they said to post it hear, as they no longe work with eCQMs.

      We are a radiation oncology practice (not a hospital) and some of our patient - facing visits are no charge visits. We have instances where we've completed depression screenings, but they are not counting toward our measure, as the measure states it has to be on a billable visit. This unfairly sets our practice up to not meet a measure that we're actually meeting.

      For example, a patient was seen at the beginning of the year by a physician, MIPS depression screening was completed, but the visit ended up being a no-charge visit. The same patient was seen one month later, for a billable visit, but screening was not completed, because our clinicians saw it was previously completed. The encounter date showing as not-met is the date for the second visit.

      Is there any way this issue can be addressed and depression screening can count when completed, regardless of billable or non-billable?

      Please note that since we are not a hospital, I am not familiar with the CSM codes below to select from. This is for 2025 reporting, so I'm choosing the first code available. 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Michele
            Votes:
            0 Vote for this issue
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: