Configure Measures for Claims-Based Reporting

On the Claims Based Reporting Setup panel, system administrators can add existing or newly-created measures to practices.

1. On the Provider CQM Maintenance template, expand the Claims Based Reporting Setup panel.
   

2. 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.
3. In the System field, do one of the following:
   • To add an existing measure, select QID, click the Measure # field, and select a measure on the Dbp Provider Measure List window.
     

   • 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.
     

     Note: For CPT II codes, select the Claims Based Measures system.
4. Select the Procedure Code1 field, use the search window to locate and select a CPT code, and then select OK.
   The system automatically fills the Procedure Description field.

   

5. To configure an exception to the measure, select the Modifier field and select an option.
   Note: Codes with attached modifiers are considered as exceptions. You must attach a modifier to a measure to indicate that it is an exception. If you do not want to report exceptions, you only need to configure the CPT II code without modifiers.
6. To add another CPT code, use the Procedure Code2 field.
   Some fields are filled automatically as follows:

   • If the measure is supported by NextGen® HQM, the HQM Supported field displays Yes; else, No.
   • If the reporting structure of the measure is claims-based, the Claims Based check box is selected.
   • If the reporting structure of the measure is registry-based, the Registry Based check box is selected.
7. Select Add.
   The measure is added to the grid.

   Note: The newly added measure appears on the Exceptions/Measures template only if you add it to the Provider Measures (not CMS) panel.