Yes. Delete the code from Table IVD-G.
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.
Yes. In light of recent studies, and after discussion with the Joint Diabetes Expert Panel, NCQA decided to change the BP control “<130/80 mm Hg” indicator to BP control <140/80 mm Hg. This change will be in the Volume 2 Technical Update that will be released October 1, 2010.
The organization must verify that a physician has completed a PIM within two years of the organization taking an action, or within the period specified for the corrective action process, which must be within a two-year period to qualify as a quality measurement activity.
Yes, with a caveat: your organizations methodology must specify a threshold for the percentage of physicians meeting the measure, which must not be less than 50%. If the percentage of physicians meets or exceeds this threshold, then your organization may use an individual measure to designate the practice.
No. The 70 percent criterion for automatic credit does not apply to CR or UM file review elements in which the delegate is NCQA Accredited or NCQA Certified in CR or UM. All CR or UM files from NCQA Accredited or Certified delegates are eligible for automatic credit regardless of the percentage of the organizations membership covered by the delegates services.