Has anyone figured out a way to distinguish between unique patient encounter and office visit for CQM calculations. My providers see patients 4 times per month at the dialysis unit and these visits must count in measures that calculate based on patient encounters, however these visits do not count for measures specific to office visit. We use SNOMED code 308335008 "pt encounter procedure" to capture our dialysis and an E&M code for the office visits. Both of these however are mapped to the GE value set "GE office visit". So my numbers for any measure specific to office visit are low (clinical visit summary for example). For 2014 I subtracted out the visits not specific to office visit which was a chore for 22 providers but I can not imagine having to do this for the entire year in 2015.
Cheryl