Manage Clinical Quality Measures

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Provider CQM Maintenance

The Provider CQM Maintenance system template is used to set up the CMS and non-CMS measures at the provider level. You can also configure Quality Program measures for claims-based reporting. This maintenance template can be dynamically updated to relieve users of constant template editing and hard-coding of the measures. Open the Provider CQM Maintenance System Template You can access the template in multiple ways to capture the provider CQM maintenance details. Panels in the Provider CQM Maintenance System Template The Provider CQM Maintenance system template includes different panels which you can use to indicate exceptions, configure measures, import and update exceptions for each measure and so on. Parent topic: Provider CQM Maintenance System Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Configure Non-CMS Provider Measures

You can configure non-CMS Provider measures for CPT II codes. To enable a provider to document an exception and submit a CPT II code manually, you must assign a measure to a provider. Open NextGen® Enterprise EHR. Open the Provider CQM Maintenance template. Provider Measures (not CMS) Panel In the Provider Measures (not CMS) panel, select the Provider field. Select a provider in the list. Select the System field, and select Claims Based Measures. Note: The grid displays measures that have been set up in the Claims Based Reporting Setup panel on the Provider CQM Maintenance template that matches the System selection you have selected. Select the Measure # field, and select a measure in the list.The Measure short description field displays the description of the measure. Select Add.The Provider Measures (not CMS) configuration is added to the All Providers Measure grid. Update Non-CMS Provider Measures You can update the non-CMS Provider measures that are configured for the CPT II codes.

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Exception Maintenance

Using the Exception Maintenance panel on the Provider CQM Maintenance template, you can import a spreadsheet with measure details, update the Effective Date and Expiration Date for each measure, and remove a record from the grid. If one measure has multiple exclusion items, then you can filter the appropriate exclusion details using the Exception Class, Exception Type, and Exception fields. Exception Maintenance Import Exception Measures You can import exception measures on the Provider CQM Maintenance template. Remove an Exception Measure You can remove an exception measure on the Provider CQM Maintenance template. Parent topic: Provider CQM Maintenance System Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Provider CMS Measures

This panel provides the ability to pick and indicate exceptions for the measures. Open the Provider CQM Maintenance system template. Click the Provider field and select a name from the list. The default option in the System field is CMS. Click the Measure number field and select a value from the list. The Measure short description field automatically fills the information based on the selected measure. In the Default exception class field, click and select an option from the list. Click the Default exception description and select an option from the list. Click Add/Update. The record appears in the grid and displays confirmation text. Provider CMS Measures To delete a measure, select the desired row on the grid and click Remove. Parent topic: Provider CQM Maintenance System Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Configure Measures for Claims-Based Reporting

On the Claims Based Reporting Setup panel, system administrators can add existing or newly-created measures to practices. Open NextGen® Enterprise EHR. On the Provider CQM Maintenance template, expand the Claims Based Reporting Setup panel. Claims Based Reporting Setup panel In the Practice(s) to View/Update section, do one of the following: To view or update measures for all practices, select the All option. To view or update measures for a practice, select the Selected option, and select a practice from the list. In the System field, do one of the following: To add an existing measure, select QID, select the Measure # field, and select a measure on the Dbp Provider Measure List window. Dbp Provider Measure List To add new claims-based measure, select Claims Based Measures. Select the Measure # field, and select <Add New> on the Dbp Provider Measure List window. You can type the measure number and measure description. Dbp Provider Measure List Note: For CPT II codes, select the Claims

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Viewing Exceptions and Measures

You can manage exceptions and view measure details on the Exceptions/Measures template. You can open the Exceptions/Measures template from the navigation bar or from the CPT II Claims Based Reporting panel on the Finalize template. You can view the following types of exceptions and measures on the Exception/Measures template: Registry-based measures Procedure coded measures Custom data mapping Exception/Measures For information on how to address specific measures, go to NextGen Healthcare Success Community, and download the guides for NextGen® HQM. Viewing Registry-Based Measures You can view the status and explanation of a selected registry-based measure on the top section of the Exceptions/Measures template. Submitting Procedure Coded Measures You can select and submit a procedure code to satisfy a claims-based measure. Reporting Through Custom Data Mapping You can use the Custom Data Mapping panel for reporting. When you update NextGen® Enterprise EHR, data recorded on the Custom Da

Manage Clinical Quality Measures

Recommendations

Provider CQM Maintenance

Configure Non-CMS Provider Measures

Exception Maintenance

Provider CMS Measures

Configure Measures for Claims-Based Reporting

Viewing Exceptions and Measures

Manage Clinical Quality Measures

Provider CQM Maintenance

Configure Non-CMS Provider Measures

Exception Maintenance

Provider CMS Measures

Configure Measures for Claims-Based Reporting

Viewing Exceptions and Measures