AMP: Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Percentage with spirometry within 2 years of new COPD diagnosis.
Measure description
Percentage with spirometry within 2 years of new COPD diagnosis.
Eligible population
New COPD diagnoses
Performance drivers
GOLD requires PFT for COPD dx.
Documentation & PA strategy
Order PFT before billing COPD ICD-10 codes.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure AMP measure?
Percentage with spirometry within 2 years of new COPD diagnosis.
What drives performance on this measure?
GOLD requires PFT for COPD dx.
How should clinicians document for this measure?
Order PFT before billing COPD ICD-10 codes.
What is the eligible population?
New COPD diagnoses
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