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Year:
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2025
QPP Measure Sets
Internal 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) 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
, Registry
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
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
091
Acute Otitis Externa (AOE): Topical Therapy
Claims
,
Registry
093
Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Claims
,
Registry
117
Diabetes: Eye Exam
Claims
,
Electronic Health Record
,
Cms Web Interface
,
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
,
Cms Web Interface
,
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
163
Diabetes: Foot Exam
Electronic Health Record
, Registry
181
Elder Maltreatment Screen and Follow-Up Plan
Claims
,
Registry
204
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Claims
,
Electronic Health Record
,
Cms Web Interface
,
Registry
226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
, Registry
309
Cervical Cancer Screening
Electronic Health Record
, Registry
317
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Claims
,
Electronic Health Record
,
Registry
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
334
Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)
Registry
337
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients 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
371
Depression Utilization of the PHQ-9 Tool
Electronic Health Record
, Registry
373
Hypertension: Improvement in Blood Pressure
Electronic Health Record
, 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
, Registry
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
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
442
Persistence of Beta-Blocker Treatment After a Heart Attack
Registry
443
Non-Recommended Cervical Cancer Screening in Adolescent Females
Registry
444
Medication Management for People with Asthma
Registry
447
Chlamydia Screening and Follow Up
Registry
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