Performance on quality measures is based largely on claims data, but supplemental data may be submitted as well. Some examples are:
- Medical records of a member who had a colonoscopy before enrolling with QualChoice.
- Removal of a total hysterectomy patient from the cervical cancer screening measure.
To send additional data, complete the Supplemental Data Submission Form available on the My Account portal at QualChoice.com.
Category II CPT Codes may also be submitted for reporting of quality data. Note: Category II codes must be submitted as eCQMs for these measures:
- Controlling Blood Pressure
- HbA1c Poor Control
- Tobacco Use
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The last chance to improve your 2020 quality metrics through supplemental data and Category II CPT codes is June 15, 2021. For questions, email CPC+@qualchoice.com.
