Once data is successfully imported for an ACO's TIN participant, numerators and denominators as reported by their EHR may be used as a comparison to what is reported in Patient360 at the TIN level. This provides assurances that the data is being imported into Patient360 accurately. To identify TIN participant numerators and denominators, use the following:
- Choose the TIN participant Clinic in the Clinic Navigator
- Verify that you are in the correct reporting year
- Select Group Practice
- Select the practice's name in blue
- In the Measure Overview Panel, make note of the Eligible Population (EP/Denominator), Denominator Exceptions (DENEX), Denominator Exclusions (DENEXCEP), Met, and Not Met. These are the values that can be matched in the EHR.
Important: Be sure to validate participant data no less than quarterly!
eCQM
To validate eCQM data, numerator and denominator scores should be compared to what is reported in the EHR. Most certified EHRs accurately track both numerators and denominators and provide a straightforward way to perform this comparison.
CQM
To validate CQM data, numerator and denominator scores should be compared to what is reported in the EHR if possible. If the EHR is not keeping track of the required measures, a random sampling of patients and encounters should be taken and found in both the EHR and Patient360 portal to be compared. We recommend reviewing a sample of 25-50 patients.
mCQM
If the EHR supports measure counts for Medicare beneficiaries only, numerator and denominator scores should be compared to what is reported in the EHR to validate mCQM data. If this is not possible, a random sampling of patients and encounters should be taken and found in both the EHR and Patient360 portal to be compared. We recommend reviewing a sample of 25-50 patients.