Functional Status Assessment for Total Hip Replacement CMS 56

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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 CMS0056v14 Functional Status Assessment for Total Hip Replacement. Since CMS56v14 is a patient-based measure, reporting eligibility is determined based on the patient’s clinical history (including the timing of the THA) rather than the provider who performed the procedure. Patients associated with providers newly joining your network may be eligible for inclusion in the 2026 measurement period if their primary THA occurred within the specified lookback window (i.e., between November 1, 2023 and October 31, 2024) and all denominator requirements are met. The measure logic cannot assign attribution to a specific provider. We recommend working with your data vendor to implement the measure according to the measure specification.
      Show
      Thank you for your inquiry regarding CMS0056v14 Functional Status Assessment for Total Hip Replacement. Since CMS56v14 is a patient-based measure, reporting eligibility is determined based on the patient’s clinical history (including the timing of the THA) rather than the provider who performed the procedure. Patients associated with providers newly joining your network may be eligible for inclusion in the 2026 measurement period if their primary THA occurred within the specified lookback window (i.e., between November 1, 2023 and October 31, 2024) and all denominator requirements are met. The measure logic cannot assign attribution to a specific provider. We recommend working with your data vendor to implement the measure according to the measure specification.
    • CMS0056v14
    • CMS0056v13
    • CMS0056v12

      We have new providers who were not part of our medical network during the required timeframe (“primary THA between November two years prior to the measurement period and October of the year prior to the measurement period”). If they subsequently age into the measure, will their data be eligible for inclusion in the 2026 measurement period?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Summer Hall
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              Created:
              Updated:
              Resolved: