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QPP Home
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Coding Info
Medicare Info
QPP Home
viewing Thu Nov 28, 2024
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Year:
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2020
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2024
2025
QPP Measure Sets
Family Medicine
Includes the following individual measures:
#
Measure Title
Submission Methods
001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
005
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
Electronic Health Record
,
Registry
006
Coronary Artery Disease (CAD): Antiplatelet Therapy
Registry
007
Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)
Electronic Health Record
,
Registry
008
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
Electronic Health Record
, Registry
009
Anti-Depressant Medication Management
Electronic Health Record
024
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
Claims
,
Registry
039
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Claims
,
Registry
047
Advance Care Plan
Claims
,
Registry
048
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Claims
,
Registry
050
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Claims
,
Registry
065
Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Electronic Health Record
,
Registry
066
Appropriate Testing for Children with Pharyngitis
Electronic Health Record
,
Registry
093
Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Claims
,
Registry
107
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Electronic Health Record
110
Preventive Care and Screening: Influenza Immunization
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
111
Pneumococcal Vaccination Status for Older Adults
Claims
,
Electronic Health Record
,
Registry
112
Breast Cancer Screening
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
113
Colorectal Cancer Screening
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
116
Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
Registry
117
Diabetes: Eye Exam
Claims
,
Electronic Health Record
,
Registry
119
Diabetes: Medical Attention for Nephropathy
Electronic Health Record
,
Registry
126
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Registry
128
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Claims
,
Electronic Health Record
,
Registry
130
Documentation of Current Medications in the Medical Record
Claims
,
Electronic Health Record
,
Registry
134
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
154
Falls: Risk Assessment
Claims
,
Registry
155
Falls: Plan of Care
Claims
,
Registry
181
Elder Maltreatment Screen and Follow-Up Plan
Claims
,
Registry
182
Functional Outcome Assessment
Claims
,
Registry
226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
236
Controlling High Blood Pressure
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
238
Use of High-Risk Medications in the Elderly
Electronic Health Record
,
Registry
243
Cardiac Rehabilitation Patient Referral from an Outpatient Setting
Registry
305
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
Electronic Health Record
309
Cervical Cancer Screening
Electronic Health Record
317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Claims
,
Electronic Health Record
,
Registry
318
Falls: Screening for Future Fall Risk
Electronic Health Record
,
Cms Web Interface
321
CAHPS for MIPs Clinician/Group Survey
Certified Survey Vendor
326
Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Claims
,
Registry
331
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Registry
332
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Registry
333
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Registry
337
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response Modifier
Registry
338
HIV Viral Load Suppression
Registry
342
Pain Brought Under Control Within 48 Hours
Registry
370
Depression Remission at Twelve Months
Electronic Health Record
,
Cms Web Interface
,
Registry
374
Closing the Referral Loop: Receipt of Specialist Report
Electronic Health Record
,
Registry
377
Functional Status Assessments for Congestive Heart Failure
Electronic Health Record
383
Adherence to Antipsychotic Medications For Individuals with Schizophrenia
Registry
387
Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users
Registry
394
Immunizations for Adolescents
Registry
398
Optimal Asthma Control
Registry
400
One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk
Registry
401
Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis
Registry
402
Tobacco Use and Help with Quitting Among Adolescents
Registry
408
Opioid Therapy Follow-up Evaluation
Registry
412
Documentation of Signed Opioid Treatment Agreement
Registry
414
Evaluation or Interview for Risk of Opioid Misuse
Registry
418
Osteoporosis Management in Women Who Had a Fracture
Claims
,
Registry
431
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Registry
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Electronic Health Record
,
Cms Web Interface
,
Registry
441
Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)
Registry
443
Non-Recommended Cervical Cancer Screening in Adolescent Females
Registry
444
Medication Management for People with Asthma
Registry
464
Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use
Registry
468
Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)
Registry
472
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Electronic Health Record
475
HIV Screening
Electronic Health Record
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Printed 2024-11-28 from https://www.findacode.com/medicare/qpp/sets.php?set=familyMedicine&year=2020
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