FAQ Directory

Here are some of the most frequently asked questions about NCQA’s various programs. If you don’t see what you are looking for in one of the entries below, you can  ask a question through My NCQA.

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7.15.2025 Multiple BIRADS Assessments for Documented Assessment After Mammogram (DBM-E) If multiple distinct mammograms are identified on the same date of service, does a single BI-RADS score within 14 days of each mammogram make the member compliant for all mammograms?

No. Each mammogram requires a unique BIRADS assessment (e.g., two mammograms need two separate BIRADS to meet numerator criteria). A single documented BIRADS assessment dated on or within 14 days (15 days total) of multiple mammography episodes does not meet criteria for multiple denominator events.

DBM-E sample and test decks have been updated and re-posted. If you already received a status of “pass” for a DBM-E test deck, the status has been re-set and you must run the updated deck to certify. The deadline to certify the measure will be extended to July 31 so organizations can accommodate this update.

This applies to the following Programs and Years:
HEDIS MY 2025