Need Guidance about Denominator Minimum for CMS-159v13/NQF-0710e/QPP-370

XMLWordPrintable

    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Referred to External Party for Resolution
    • Priority: Moderate
    • Component/s: None
    • None
    • Schinley Land
    • 2567355098
    • Cullman Regional Medical Center
    • Hide
      Thank you for your inquiry. Unfortunately, this is out of scope for the eCQM Issues Tracker. We have created a ticket with the CCSQ Service Center for you with the following ticket number: CS2648477

      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. Unfortunately, this is out of scope for the eCQM Issues Tracker. We have created a ticket with the CCSQ Service Center for you with the following ticket number: CS2648477 You will be contacted by their team and assigned a customer service representative who will work to resolve your inquiry.
    • Not measure related
    • Not measure related
    • Not measure related
    • Not measure related
    • CMS0159v13
    • Not measure related
    • Not measure related
    • Not measure related
    • 2025 MIPS Submission

      Hi. Our organization is working on our MIPS submission for 2025. Can you provide insight regarding the threshold/minimum denominator criteria for CMS-159v13/NQF-0710e/QPP-370 (Combined Population Total): Depression Remission at Twelve Months? We see the following guidance: Scoring Quality Measures

      We score each measure by comparing your performance to a benchmark. If a measure can be reliably scored against a benchmark, it means: • A benchmark is available. • The measure met the case minimum criteria (at least 20 denominator-eligible instances for most measures); and • The measure met the data completeness criteria (performance data reported for at least 75% of the denominator-eligible patients/cases).

      Our denominator for the questioned measure is over 20 as per guidelines. However, we notice that the scoring indicates the measure needs to met "case minimum criteria" and that a denominator of 20 is eligible for "most measures". Would a denominator of at least 20 on Measure CMS-159v13/NQF-0710e/QPP-370 (Combined Population Total): Depression Remission at Twelve Months be scored/considered as met case minimum or is there another threshold for this measure?

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

              Created:
              Updated:
              Resolved:
              Solution Posted On: