NextGen Healthcare announces the General Release of the NextGen® Knowledge Base Model (NextGen KBM) Coded Results Mapping Version 1.0. This solution greatly improves performance-based CMS reporting accuracy, reduces the potential for large Medicare adjustments, and simplifies customized templates for more accurate capture of quality measure reporting data.
We recommend this release for all clients who meet the following criteria:
- Participate in Clinical Quality Measure reporting and
- Are live on NextGen KBM version 8.3 or higher or
- Use the 2014 Standalone Meaningful Use templates.
The Centers for Medicare & Medicaid Services (CMS) updates CQMs yearly and often adds or updates SNOMED codes to various CQMs. Installing the Coded Results Mapping solution allows you to update these codes for the 2015 reporting year, and for future years, without requiring a KBM upgrade. View the table below for a list of CQMs potentially impacted by the Coded Results Mapping solution. This solution also allows more flexibility to map customized pick list entries to SNOMED codes for added data capture accuracy. Note: Pick list customizations are common for ophthalmology clients who use the IRIS® Registry. This solution also corrects situations where SNOMED codes were not updated in the KBM in time for data capture.
Important 2015 Reporting Timeline Recommendations
The Coded Results Mapping solution is recommended for all clients who report CQMs. Immediate installation is recommended prior to reporting for the 2015 calendar year for clients who:
- Use “aligned reporting” with the latest versions of certain measures such as CMS 138v3 (and using the 2014 MU Templates) OR
- Are ophthalmology users and have modified the macula pick list options while planning to report CMS 142 and/or CMS 167.
If you meet either criteria, your CQM reporting may not be fully accurate. We recommend installation of the Coded Results Mapping solution prior to February 12, 2016 to configure and enable the solution prior to HQM extraction and final reporting on March 11, 2016.
A full list of potentially impacted CQMs is shown in the table below.
| List of CQMs Potentially Impacted by the NextGen KBM Coded Results Mapping Solution |
| CMS 2: Screening for Clinical Depression and Follow-up Plan (some NextGen KBM versions not populating code for PHQ9) |
| CMS 56: Functional Status Assessment for Hip Replacement (only if using custom workflow) |
| CMS 66: Functional Status Assessment for Knee Replacement (only if using custom workflow) |
| CMS 68: Documentation of Current Medications in the Medical Record |
| CMS 82: Maternal Depression Screening (only if using custom workflow) |
| CMS 90: Functional Status Assessment for Complex Chronic Conditions (only if using custom workflow) |
| CMS 123: Diabetes Foot Exam |
| CMS 131: Diabetes Eye Exam |
| CMS 133: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery (custom fields may not be mapped, but will ensure using NextGen KBM workflow codes are uploaded) |
| CMS 137: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (only if using custom workflow) |
| CMS 138: Tobacco Use – Screening and Cessation Intervention (using 2014 MU templates) |
| CMS 139: Falls – Screening for Future Falls Risk (only if using custom workflow) |
| CMS 142: Diabetic Retinopathy – Communication with Physician Managing Diabetes |
| CMS 143: POAG – Optic Nerve Evaluation |
| CMS 159: Depression Remission at Twelve Months |
| CMS 160: Depression – Utilization of PHQ9 (some NextGen KBM versions not populating code for PHQ9) |
| CMS 167: Diabetic Retinopathy – Presence or Absence of Macular Edema and Level of Severity of Retinopathy |
INSTALLATION GUIDELINES AND RESOURCES
For specific details on the impacted CQMs please review the information contained on the Coded Results Mapping 1.0 Overview page.
This solution is ready to download now and self-install from the Knowledge Exchange.
Alternatively, you may open a support incident/request to have our client support team apply the Coded Results Mapping solution – at no cost.
Clients can open a new support incident/request at the top left-hand corner of the Client Support Central (CSC) home page.
- From the “Select a Subject” menu, select “KBM Upgrade Request”
- In the “Incident Description” box below, please enter: “Need Coded Results Mapping solution installed.”
Please Note: You must be live on NextGen KBM version 8.3.x [NextGen KBM versions 8.3.0 through 8.3.10] or have previously installed the 2014 Standalone Meaningful Use templates to use the Coded Results Mapping solution.
If you have any questions, please contact Client Support.