Denominator: All visits occurring during the 12-month performance period for patients aged 18 years and older.
- An exception is available for medical reasons where the patient is in an urgent or emergent situation where time is of the essence and the delay of treatment would jeopardize the patient’s health status.
Numerator: Eligible professional attests to documenting, updating or reviewing the patient's current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosages, frequency and route of administration
- "Attests to documenting” requires the provider to select “Review” on the Medications screen in the encounter prior to signing See Example
Notes
- "Visit" is an encounter with at least one service with CPT code: 90791, 90792, 90832, 90834, 90837, 90839, 92002, 92004, 92012, 92014, 92459, 92507, 92508, 92526, 92541, 92542, 92544, 92545, 92547, 92548, 92550, 92557, 92567, 92568, 92570, 92588, 92626, 92650, 92651, 92652, 92653, 96116, 96150, 96151, 96152, 97001, 97002, 97003, 97004, 97532, 97802, 97803, 97804, 98960, 98961, 98962, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99495, 99496, 59400, 59510, 59610, 59618, 99024, 99221, 99222, 99223, 99281, 99282, 99283, 99284, 99285, G0101, G0108, G0270, G0402, G0438, G0439, G0515
- Allowed Clinical Exception SNOMED codes:
- 183932001 - Procedure contraindicated (situation)
- 397745006 - Medical contraindication (finding)
- 407563006 - Treatment not tolerated (situation)
- 428119001 - Procedure not indicated (situation)