[CQM-6141] Documenting Date for Depression Screening (CMS 002) Created: 06/06/23  Updated: 06/12/23  Resolved: 06/09/23

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: EC eCQMs - Eligible Clinicians Priority: Moderate
Reporter: Kyle Meadors (Inactive) Assignee: Mathematica EC eCQM Team
Resolution: Answered Votes: 0
Labels: None

Attachments: XML File 10_Clayton_Vaughn_8DaysBefore.xml    
Contact Name: Kyle Meadors
Contact Email: kyle@chartlux.com
Contact Phone: 615-804-9600
Institution/Name: Chart Lux Consulting
Solution: ​​Thank you for your inquiry on CMS2v12 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Patients can be screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter. The depression screening must be reviewed and addressed by the clinician, filing the code, on the date of the encounter. Positive pre-screening results indicating a patient is at high risk for self-harm should receive more urgent intervention as determined by the provider practice. We hope this helps.
Solution Posted On:
2023 Performance Period EC eCQMs:
CMS0002v12
Impact: Need to understand measure requirements so as to instruct customers on how to properly document their activities.
Last Commented Date:

 Description   

For eCQM CMS 002 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan), it says that to qualify for the numerator the provider must do a screening for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool. My question is regarding the timing of the documentation by the physician into the EHR for numerator consideration. If the patient completed the screening within 14 days prior to the encounter, MUST the provider only document this clinical interpretation of the screening results during the encounter period to qualify for numerator OR is acceptable to do this documenting of the clinical interpretation of the screening to also be within 14 days of the encounter. Basically, does the depression screening assessment need to be completed (documenting the clinical interpretation) during the encounter time to count for the numerator or can it be completed (documented) outside of the encounter as long as it is within 14 days of the encounter? The measure guidance speaks about documentation timing of the follow-up plan (if screening is positive) but does not address documentation timing of the depression screening itself. 



 Comments   
Comment by Mathematica EC eCQM Team [ 06/12/23 ]

Thank you for the follow-up question. We will review your ticket and provide a response as soon as possible.
 

Comment by Kyle Meadors (Inactive) [ 06/09/23 ]

Thanks for the response. Given that, I'm not sure how we document the date of review by the clinician in the QRDA. Looking at some files from Cypress Test Tool, I only see the date of assessment and then date of encounter, and as long as the date of assessment is within 14 days of encounter, it can count in the numerator. Attached file was run through the CVU+ tool and shows patient qualifies for numerator. Where do you show the date of documentation/finding?

Comment by Mathematica EC eCQM Team [ 06/07/23 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

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