image002.png
[CQM-5086] eCQM question regarding self-pay patients Created: 12/01/21 Updated: 02/24/22 Resolved: 02/24/22 |
|
| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | EC eCQMs - Eligible Clinicians | Priority: | Moderate |
| Reporter: | Jason Shropshire (Inactive) | Assignee: | Albert W. Taylor (Inactive) |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Attachments: |
image002.png
|
| Impact: | For the 3 eCQMs as part of the MSSP APP Quality submission |
| Description |
|
HI–I need clarification regarding the eCQM methodology for the APP quality submission program for the 3 clinical eCQMs below. Do we have to include self-pay or uninsured patients in the denominators for the 3 eCQM measures? Or is it restricted to patients who are insured by payers?
Thanks |
| Comments |
| Comment by Albert W. Taylor (Inactive) [ 01/28/22 ] |
|
I believe that all patients who otherwise meet the IPP definition must be reported, not just Medicare eligible. Please double check with the QPP help desk to confirm that self-pay and uninsured are treated the same as non-Medicare insured patients. Quality Payment Program (QPP) Contact the QPP Information Center: |
| Comment by Jason Shropshire (Inactive) [ 01/26/22 ] |
|
Hi—Following up on this? I have not received a response; please let me know the answer to this question— Jason Shropshire, PMP | Manager, Value Accounts |
| Comment by Mathematica EC eCQM Team [ 12/02/21 ] |
|
Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |
