Home Forums Discussions Meaningful Use CQM not counted

We are having a problem with the AC Meaningful Use Wizard not correctly counting the CQM entries. Our group successfully performed the intial 90-day Meaningful Use in 2011. Now when I run a report the numerator and denominator columns are blank and the status is "failed". Last year the CQMs were counted correctly. We assign a CPT code to each office visit encounter before we sign off. We correctly document the CQM in the Decision Support. We are using Version 6.3.3. Does anyone know why that NONE of the CQM required or CQM alternate are being counted?

I am again requesting assistance from AC users. Does anyone have any suggestions how to resolve this problem?

Hi Ted,

Mark from Amazing Charts here. I shot you a PM about this issue. I have encountered this error before in a couple practices and there are a couple things it could be. First is there is a bad data set in the program somewhere causing the report to error out (possible special character somewhere that it is not supposed to be). This is rare, but possible. The other option is the report might have a random glitch that blanks out the CQMs. I would have to remote into your computer to see exactly what is going on. Please PM me your contact info and I can set up a time to help you out.

Hi,

I am having the same issue as Ted and am awaiting a response from Amazing Charts. I sure hope the "fix" will be retroactive.

I also have found all 0's in these measures when I try and run the entire year. If I run 3 months at a time it counts the CQM measures properly.

It seems to me that it must be timing out before it gets to the CQM measures. This MUST be fixed. I attested in 2011 and I have to keep going this year. I believe that once you start you must continue or they can make you give back the money you already received.

If this isn't fixed before the end of the year I will print out quarterly reports and try and put them together and attest with the numbers that I get by this method.

I may be wrong about this but here is my understanding. Meaningful Use year 1 attestation required 90 day attestation. You have attested to this? If you have ...that's it. I completed year 1 criteria...the whole 90 day thing...but I wasn't allowed to attest by the deadline due to a Pecos number issue. It took Medicare 10 months to process the forms for updating this number. By the time I was allow to register to attest, the 90 day period I had completed in 2011 was not in the "eligible" timeframe to attest. I had anticipated this roadblock and was able to use another timeframe in the 2012 calendar year.

Level 2 meaningful use rules just came out about 6 weeks ago maybe. I don't think you are even able to try to do Level 2 until 2014. Please correct me somebody if I am mistaken about this.
Nancy

RR, I really do not think that is true. Short of fraud, I don't believe there is any statement or intention of CMS to force you to continue with the incentive program, let alone taking back funds you have already received. If you can point to a CMS publication or faq that says otherwise, please do so.
I certainly understand your desire to get this problem fixed, and would encourage you to aggressively pursue the help offered by Mark at AC to address the problem. I do not think the incentive money you already received is at risk.

Nancy, I believe that what you are saying is correct. I believe the posters above are talking about year 2 of attestation, NOT stage 2 of MU.

Yes, I am talking about year 2 attestation not stage 2. Stage 2 is irrelevant. I spoke with a representative and was told that once the process was started you are required to continue using the system or a random audit could find you out of compliance and they can and will take the money back with fines. Random audits will start in 2013. I did not specifically ask if I had to attest for the full 2012 year since I started in 2011, but when I log on to the system it has the 2012 attestation queued up and ready for input as soon as the year is over. I will try and get an answer to this question as it is very important. I don't believe they would just give you a large sum of money for 3 months of compliance and then allow you to scrap the system without consequences. I've dealt with the government in various forms too many times to think that there is no penalty for this in the thousand pages of BS they put together for EHR meaningful use.
On a technical note, I did quarterly reports in my system up to Oct 2012 and everything was counted perfectly. I still believe the system is just timing out when I try to run the full year because that's the only time I get no count on the CQM. If there were data corruption it should show up on the quarterly reports as well. All you have to do is change the dates that the system searches to 3 months at a time and run it and you'll see that you get good numbers.

The meaningful use wizard is a very complex report that does use a lot of resources to complete. We have seen instances where the report will time out, especially when trying to run a full year of data. A couple recommendations to help with this is to always run the report from the server, and run the report when no one else is connected to Amazing Charts in the office. This will minimize the strain on the CPU of the server and help run the reports smoother.

Please PM me with any questions.

Mark Dabeck
Product Support
Amazing Charts

Thank you,

I believe I have tried this and it still gave me all zero's for the CQM measures. I will try again tonight when all other computers are off. I have a new very fast server with solid state hard drives in raid 10 config, so I don't think horsepower is an issue. If it fails I'll let you know.

Definatly let me know. My email is mdabeck@amazingcharts.com. We can run a few tests to narrow down the exact issue.

Was this ever resolved? I am having the same problem says 0 but it states passed

For the provider in question on this thread, it turned out to be a time out issue with the report. If your report is blank, with just a 0 in the exclusion column then please contact me at mdabeck@amazingcharts.com and we can set up a time to work on this issue.

If your CQM's are showing 0's in all the columns, then the most likely issue is the lack of office visit CPT codes on the superbills. These codes need to be entered on the superbill for each visit (even if you are not using AC for billing) so the program can track multiple visits.

I am having the same problem on my 2012 report. All items are fine until CQM Alternate, where the only populated columns are "Exclusions", which show 0s, and "P/F", which show red crosses. Other core, menu, and CQM Required are ok. In case it was a processing time problem as mentioned above, I rebooted both the server and the client, shut down all other clients, tried running the wizard from the server, and tried running 3 or 6 months, all to no avail. Mark, how do I find the "bad dataset in the program somewhere" that you speak of?

Followup: I tried all kinds of combinations in case there was a data error, on the theory that if I omitted data that contained invalid values. Changing to different CQM Alternates did not help it compile. However, adding children immunizations before the CQM Alternates suddenly made it ok, and all numbers were counted, no matter what date range. So now I have the report, just one more set of data (children immunizations) than I need. I don't understand how adding a data set makes it ok, if there was an invalid entry in the data set.