eCQM Impacted – CMS506v7 (Safe Use of Opioids—Concurrent Prescribing)

Issue – The denominator exclusion logic, specific to the diagnosis and treatment of opioid use disorder (OUD), contains two errors:

1. Logic evaluates for patients who have ever had a diagnosis of OUD, when it should evaluate only for patients with an active diagnosis of OUD
2. Logic evaluates for either a diagnosis of OUD or treatment of OUD, when it should evaluate for an active diagnosis of OUD and treatment of OUD 

This error leads to patients being excluded from the denominator, in error, and as a result, may result in undercounting patients that meet the denominator (and potentially the numerator).