Description

Percentage of patients 18-75 years of age with diabetes who had a glycemic status assessment (hemoglobin A1c [HbA1c] or glucose management indicator [GMI]) > 9.0% during the measurement period.


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Measure Template

Field

Description

Provider NPI

10-digit NPI number related to this instance

Provider TIN *

9-digit TIN number related to this instance

Patient ID *

Patient identifier from source system

First Name *

Patient first name, used for de-duplication

Last Name *

Patient last name, used for de-duplication

Gender *

Patient gender

Date of service, YYYY/MM/DD *

Service date for this instance, must be within reporting year

Patient date of birth, YYYY/MM/DD *

Patient birth date

Payer

Primary insurance payer

Suggested values are: “Medicare Part B FFS” or “Other”

Diagnosis code *

ICD-10 code for this instance

Encounter code *

CPT/HCPCS code for this instance

Hospice services provided to patient any time during the measurement period *

Must be TRUE if asserting G9687 exclusion

Otherwise, must be FALSE

Palliative care services provided to patient any time during the measurement period *

Must be TRUE if asserting G9988 exclusion

Otherwise, must be FALSE

Patients age 66 and older in Institutional Special Needs Plans (SNP) or residing in long-term care with a POS code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period *

Must be TRUE if asserting G2081 exclusion

Otherwise, must be FALSE

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period *

Must be TRUE if asserting G2090 exclusion

Otherwise, must be FALSE

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period *

Must be TRUE if asserting G2091 exclusion

Otherwise, must be FALSE

Measure 1_SSP *

Numerator response code for this instance - see acceptable codes below

* Indicates a mandatory field 


Numerator Response Codes

The table below defines the acceptable numerator response codes for measure 1.

Numerator Code

Performance

Description

M1211

Met

Most recent hemoglobin A1c level > 9.0%

M1212

Met

Hemoglobin A1c level was not performed during the measurement period (12 months)

M1371

Not Met

Most recent hemoglobin A1c (HbA1c) level < 7.0%

M1372

Not Met

Most recent hemoglobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0%

M1373

Not Met

Most recent hemoglobin A1c (HbA1c) level greater than or equal to 8.0% and less than or equal to 9.0%

G9687

Exclusion

Hospice services provided to patient any time during the measurement period

G9988

Exclusion

Palliative care services provided to patient any time during the measurement period

G2081

Exclusion

Patients age 66 and older in Institutional Special Needs Plans (SNP) or residing in long-term care with a POS code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period

G2090

Exclusion

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period

G2091

Exclusion

Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND an advanced illness diagnosis during the measurement period or the year prior to the measurement period