There are two quality actions that will meet performance for Measure #110 Preventive Care and Screening: Influenza Immunization. The first quality action is actual administration of the vaccine. The other quality action is documentation that the immunization had been delivered during the current immunization season, therefore, if the Eligible Professional documents the immunization was administered by another provider the quality action for the numerator has been met. For PQRS program years 2015 and 2016, the influenza immunization should be reported once for visits during January 1 through March 31 and reported once for visits October 1 through December 31 (of the current reporting period) for the prior year flu season and current year flu season. For example, if a patient is seen in February and received his or her flu shot in November of the prior year, the eligible professional would report G8482. If the same patient returns in October, within the same reporting period, and receives a flu shot for the current season, the eligible professional would again report G8482.
If it is determined that a patient received the influenza immunization by another provider (between August 1 through March 31), it is appropriate to report G8482. In circumstances where the patient has been given an order to receive the flu shot for the current season or the vaccination was not currently available, the eligible professional should report G8483: Influenza Immunization not Administered for Documented Reasons.
Please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or via e-mail at qnetsupport@hcqis.org should you have questions regarding this topic.
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