| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | Yes | Efficiency and Cost Reduction |
Measure Description
Percentage of patients, regardless of age with a diagnosis of HIV who had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits
Instruction
This measure is to be reported a minimum of once per performance period for patients with HIV seen during the performance period. This measure is intended to reflect the quality of services provided for the primary management of patients with HIV. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
Denominator
Patients, regardless of age, with a diagnosis of HIV with at least one medical visit in the performance period
Denominator Criteria (Eligible Cases):
Patients, regardless of age
AND
Diagnosis of HIV/AIDS (ICD-10-CM): B20, Z21
AND
Patient encounter during the performance period (CPT or HCPCS): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402
AND NOT
DENOMINATOR EXCLUSION:
Patient died at any time during the 24?month measurement period: G9751
Numerator
Number of patients who had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits
Numerator Options:
Performance Met: Patient had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits (G9247)
OR
Performance Not Met: Patient did not have at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits (G9246)