Thank you for your inquiry regarding CMS122v13 (2025 Performance Period). This measure’s exclusion identifies patients who are in hospice or palliative care at any time during the measurement period. The data must be entered and documented in the EHR. Currently, the measure does not specify the exclusion of patients who are on comfort measures or those who are deceased during the measurement period. Clinically equivalent services may be mapped to the measure’s value set. If mapping is performed, please maintain documentation in case of a CMS audit. Please refer to the measure specification to review the measure requirements: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS122v13.html . If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs . For inquiries about CMS quality program reporting requirements or other quality measure collection types (e.g., MIPS CQM), please contact the QPP Helpdesk at QPP@cms.hhs.gov .