[EHR Incentive Programs] If one of the measures for the core set of clinical quality measures (CQMs) for eligible professionals (EP) is not applicable for my patient population, am I excluded from reporting that measure for the Medicare or Medicaid Electronic Health Record (EHR) Incentive Programs?
This FAQ applies to providers who are reporting 2013 CQMs.
An eligible professional (EP) is not excluded from reporting core clinical quality measures (CQMs). However, zero is an acceptable value to report for the denominator of a CQM if there is no patient population within the EHR to whom that CQM applies. If an EP reports a zero denominator for one of the core measures, then the EP is required to report results for up to three alternate core measures (possibly reporting denominators of 0 for all three alternate core measures). We refer readers to pp. 44409-10 of the preamble to our final rule for our discussion of this issue.
To view the final rule for the Medicare and Medicaid EHR incentive programs, please visit: http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf.
For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms.