[CQM-5420] Quality ID 134 documentation question Created: 07/08/22 Updated: 07/25/22 Resolved: 07/25/22 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | None |
| Type: | HQMF Standards | Priority: | Moderate |
| Reporter: | Laurie Rast (Inactive) | Assignee: | Mathematica EC eCQM Team (Inactive) |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Attachments: |
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| Contact Name: | Laurie Rast |
| Contact Email: | laurierast@pfpparis.com |
| Contact Phone: | 9036690800 |
| Institution/Name: | Paris Family Physicians |
| Solution: | Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specifications, the depression screening must occur on the date of the encounter or up to 14 days prior to the date of the encounter, and if applicable, a follow-up plan must be documented on the date of the eligible encounter. The measure guidance states that the depression screening must be reviewed and addressed by the provider, filing the code, on the date of the encounter. Therefore, your EMR vendor's interpretation is correct; the depression screening, and follow-up plan if applicable, must be documented on the date of the encounter in order to meet the numerator criteria. |
| Solution Posted On: | |
| 2022 Performance Period EC eCQMs: |
CMS0002v11
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| Impact: | We are interpreting #134 differently than our EMR vendor, Greenway causing our analytics program that we use to report ECQMs for MIPS to not pick up the measure work creating a 0% performance even though we are doing it |
| Description |
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See attached Quality ID information sheet #134 It states that the depression screening is to be performed (not documented) on the date of the encounter or up to 14 days prior. Our EMR vendor analytics tool is not picking up the work we document for this because they state that CMS requires that the screening actually be documented in the chart during the course of the encounter (not just performed but actually documented in the EMR). Is that correct? If so, how would a doctor who uses a Transcriptionist workflow to document notes in the EMR after a patient visit ever meet this measure? In our workflow, we do the Depression Screening and we do document the it on the correct Encounter (date of service) but do so the next day thus the analytics program is not counting the measure completion in the Numerator performance numbers. I did call the QPP about this and they said they can't interpret the ECQMs and I'd have to contact you. call #1686916 |
| Comments |
| Comment by Laurie Rast (Inactive) [ 07/19/22 ] |
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Please reply as soon as possible - I'm really needing this clarified. Laurie Rast, Practice Administrator 903-669-0800 ~ Fax 903-782-9365 myparisfamilyphysicians.com [cid:8b6b3f9b-8ece-4784-8ffd-eefa3c628044] |
| Comment by Mathematica EC eCQM Team (Inactive) [ 07/19/22 ] |
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We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience. |
| Comment by Mathematica EC eCQM Team (Inactive) [ 07/12/22 ] |
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Thank you for submitting your question. We will review your ticket and provide a response as soon as possible. |