The member would fall in Rate 2 (Not Screened) because the Pap test and the HPV test occurred on different dates of service.
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3.16.2013 Evidence-Based Cervical Screening (ECS) For Measurement Year 2012, would a member who had a Pap test and an HPV test on different dates of service in 2009 or 2008 fall in Rate 1 (Appropriately Screened) or in Rate 2 (Not Screened)?
3.16.2013 Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART) In HEDIS 2013, Table ART-C includes code J3262, but P4P does not. Please confirm that it should be included.
3.16.2013 General Guidelines I am a self-reporting PO who plans to submit results for Medicare members. Please clarify which health plans members I should include.
3.15.2013 Web chat as a means of meeting MEM 4, Element A Does the availability of a Web chat meet the requirements for an attempt or contact to meet MEM 4, Element A?
Yes. As long as the member can receive the information or complete the listed activities in the element in one attempt or contact, a Web chat will meet the requirements. The organization would need to provide documentation explaining how the system works and evidence of completion of the specified actions.
This applies to the following Programs and Years:
3.15.2013 Eligibility for accreditation prior to establishing relationships Is an organization eligible for accreditation if it does not perform the functions specified within the standards and guidelines directly and has not entered into an effective service agreement with another entity to perform the function?
3.06.2013 Proportion of Days Covered (PDC) The specifications state, "if the member has two distinct measurement periods in one measurement year, exclude the member due to a gap in enrollment." Please clarify.
If a member has two separate 90+ day enrollment periods during the measurement year, each with a pharmacy benefit, exclude the member due to a gap in enrollment.
If a member has two separate enrollment periods, one for fewer than 90 days, include the member in the measure but count only the 90+ day enrollment period. Use the date of disenrollment from the 90+ day enrollment period as the end of the measurement period.
If a member has two separate enrollment periods, one with no pharmacy benefit, include the member in the measure but count only the enrollment with the pharmacy benefit. Use the date of disenrollment from the enrollment period with the pharmacy benefit as the end of the measurement period.
This applies to the following Programs and Years:
2.16.2013 Meaningful Use of Health IT Domain I was sent an email with log-in instructions for accessing the MUHIT survey, but I am not the contact at my organization who will be filling out the survey. Can you assign the survey to someone else in my PO?
We have assigned one contact per PO to the MUHIT survey, and that person may add as many users as necessary to the survey. Instructions for adding users to the survey are as follows:
- Go to the Manage User tab
- Select Add User
- Select Create a User
- Enter email address of the person from your PO you want to add
- Create a password. If the contact you are adding already has access to the P4P PO reports, they will use the same password.
- Assign one of the following two roles: Administrators: Manages users, fills out the survey, submits the survey; Assessors: Fills out the survey.
This applies to the following Programs and Years:
2.16.2013 Care for Older Adults For the functional status assessment indicator, the fourth bullet requires notation of at least three of the four components: cognitive status, ambulation status, sensory ability and other functional independence. For "sensory ability," must all three components (hearing, vision, speech) be documented to meet the criterion?
2.16.2013 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents May a member's height, weight and BMI percentile be noted on different dates of service in the medical record for the BMI Percentile indicator?
2.16.2013 Adult BMI Assessment May a member's weight and BMI be noted on different dates of service in the medical record?
2.16.2013 Adult BMI Assessment If the member's weight is documented in the medical record during the measurement year or year prior to the measurement year, may the organization calculate BMI at a later date?
Yes. The BMI may be calculated by the organization at a later date. It must be calculated and documented in the medical record during the measurement year or year prior to the measurement year to be eligible for use in HEDIS reporting.
