[EHR Incentive Programs] For the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, if the certified EHR technology possessed by an eligible professional (EP) generates zero denominators for all clinical quality measures (CQMs) in the additional set that it can calculate, is the EP responsible for determining whether they have zero denominators or data for any remaining CQMs in the additional set that their certified EHR technology is not capable of calculating?
No, the EP is not responsible for determining the status of CQMs that their certified EHR technology is not capable of calculating. The certification criterion for ambulatory CQMs sets a minimum threshold in order for the certification criterion to be met. A 2011 edition EHR technology must be certified to the 6 core CQMs (3 core and 3 alternate core CQMs in Table 7 of the Stage 1 final rule) and at least 3 CQMs from the additional set (Table 6 of the Stage 1 final rule). In the Stage 1 final rule, we stated that it was our expectation that EPs would seek out certified EHR technologies that include and were certified for CQMs relevant to their scope of practice. Starting in 2014, EPs will have 2014 edition EHR technology which has different criteria. This FAQ applies only through the end of 2013.
To view the Stage 1 final rule for the Medicare and Medicaid EHR incentive programs, please visit: http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf.