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QM Import Chart
Available only to Security Official users

The QM Import Chart is used to configure priority levels for response methods on individual quality measures. By configuring the QM Import Chart, you can set certain response methods as higher priority than others, allowing or disallowing overrides based on the priority level.

To Access the QM Import Chart, click on the Admin tab in the upper right hand corner of the screen and scroll down and click on QM Import Chart

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The first section of the import chart is the Measures Import Priority

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This section allows users to assign priority levels to the import data for the 10 quality measures listed.

 

For each measure you will see there are five data types to choose from, Claims (CCLF) imports, EHR data imports, EHR Data single/spec File Imports, Manual Keyed data and Carryover Data from Previous Year.

 

Each data import that you would like included in the import process must have a number from the drop down selected.

 

If a response method has a higher priority level than the one currently being used for that patient’s measure, the old response will be overwritten by the new one. Conversely, attempting to overwrite an old response with a new response that has a lower priority level will not succeed. The exception to this is If the existing answer is non-performance and the incoming answer is performance, the answer will be overwritten regardless of priority.

 

There is also an option for ‘Default No Diagnosis’. The measure answer will be set to an ‘N/A’ response if the patient has Monthly CCLF Claims Data with no indication of the diagnosis included in the measure. Applies only to at-risk population measures. If selected ‘Yes’ this option will have the lowest priority on the import chart.

The following measures cannot import performance answer from claims.

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*Performance answer cannot be imported from claims as requires blood pressure and date

**Performance answer cannot be imported from claims as requires lab value and date

***Performance answer cannot be imported from claims as it requires PHQ9 values and dates

Once you have completed your prioritization options, click                    to confirm your changes.

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Below the import priority options users will have to make decisions about CMS Web Interface Random Sample options.

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  • Launch CMS Web Interface is the fist day you can open QM for the next Performance Year. 

  • Date to Enable CMS WI Random Sample saving. When you open CMS Web Interface Random Sample for saving CMS Web Interface will be disabled at the same time. This is to ensure users are entering data in the correct portal. First available date is subject to change depending on the release of CMS Web Interface Random Sample.

  • Unlock TIN/NPI assignment for CMS WI Random Sample. Be careful when choosing ‘YES’ for this selection. Choosing ‘YES’ will allow you to make changes to the TIN/NPI assignment for patients included in your CMW Web Interface random sample. This selection is defaulted to ‘NO’.

  • Date to Finalize CMS Web Interface Random Sample submission. The date you choose here will decide when you will disable saving in CMS WI Random Sample for the current performance year.

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After selections are completed, click Submit to save your changes.

The last section of the QM Import chart are the Mandatory Defaults.

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These defaults take the Highest Priority in the import process. Patients with a Default Date of Death or Default Date of Hospice will be marked with a Yellow Flag and Skipped for all measures.

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