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Clinical Quality Measure Reporting- MU II

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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swood

(@swood)

Posts: 18

Eminent Member

Topic starter

I spoke with someone with Centricity recently as to why our MU numbers were not being reflected despite my recent mapping. She ensured my mapping was on target but then said that any new mapping only looks at "results" moving forward, that in order to get prior activity, you need to run an inquiry and select "clinical quality measure" from the dropdown and it then says "export request sent". I then re-ran our CQR numbers and there was no change in this numbers for this particular measure. Anyone have any insight? I am wondering if my requests are sitting somewhere and that there is an additional step that wasn't explained to me?

Posted : July 13, 2015 3:08 am

dduschel

(@dduschel)

Posts: 207

Reputable Member

Check on your insight to make sure that your injestion date it current. That happened to us when we were back-logged. You might also check the provider's last patient upded under the calculation tab. I still have a couple measures that don't work correctly too.

Posted : July 13, 2015 3:18 am

tcross

(@tcross)

Posts: 165

Estimable Member

Want to connect on thi sone as we are having problems as well. Numbers just aren't what they should be. Actually I am told by GE that my mapping for falls assesment is accurate and I can check to see that the action is completed in the chart note but am still getting zero numerators. Not sure what to do next but run queries.

Posted : July 13, 2015 3:33 am

bruins1986

(@bruins1986)

Posts: 233

Reputable Member

One thing we were told recently that we didn't really expect is that any "procedure" like CQM (smoking cessation education, diabetic eye exam etc) needs an order with a CPT or SNOMED that GE is evaluating. They told us they got this from CMS' Value Set - still trying to find the actual source information - but that is why we saw numbers for some measures (ike control hypertension as BP is a result/vital sign not an "order" from GE's point of view) but not for things like diabetic eye exam even though we have values in the corresponding observation terms for both. Basically if you have to do something to hit the measure (give smoking education, perform an eye exam etc) you need to have an order (with the CPT and/or SNOMED code GE is looking for). The Data Mapping tool does not help for these CQMs - they do not evaluate mapping an observation term in these cases (yet, we were told).

Does that make sense? Took me like 3 tries to understand it the first time...

Posted : July 13, 2015 6:26 am

tcross

(@tcross)

Posts: 165

Estimable Member

But even when I force an order with the snomed code for falls assessment and have the associated office visit CPT code I am still not getting credit for the measure in CQR

Posted : July 13, 2015 6:32 am

bruins1986

(@bruins1986)

Posts: 233

Reputable Member

do you see the patient in the denominator but not the numerator? Or in neither place? We just started scratching the surface of the CQMs since we had to focus so much effort on how the CQR calculates the core measures and we haven't gotten to this one. I would just double check the CPT code/SNOMED codes you are using are what GE is looking for. If they are the data ingestion is probably the issue (or there's another bug...)

We ran into an issue with the diabetic eye exam - basically the CPT code we bill for isn't one of the ones GE says CMS recognizes as an eye appointment so we had zeros for a lot of providers in the denominator...

Posted : July 13, 2015 7:32 am

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