CMS 139v6: Falls: Screening for Future Falls Risk

Measure: Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Measure TypeHigh Priority MeasureScoring
ProcessYesA higher percentage indicates better quality
DenominatorPatients aged 65 years and older with a visit during the measurement period
NumeratorPatients who were screened for future fall risk at least once within the measurement period
Denominator ExceptionsNone
Denominator Exclusions

Exclude patients who:

  • Were assessed to be non-ambulatory during the measurement period
  • Were in hospice care during the measurement year

Patients who meet the following criteria will be included in the denominator:

  • Age is ≥ 65 years at the beginning of the Measurement Period

    AND

  • Must have at least one encounter during the Measurement Period finalized by the EC/EP

CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99393, 99397, 99401, 99402, 99403, 99404, 92540, 92541, 92542, 92548, 92002, 92004, 92012, 92014, 99221, 99222, 99223, 99231, 99232, 99233, 99241, 99242, 99243, 99244, 99245, 99281, 99282, 99283, 99284, 99285, 99251, 99252, 99253, 99254, 99255, 99381, 99382, 99383, 99384, 99024, 99391, 99392, 99394, 99396

HCPCS: G0402, G0438, G0439

A patient will be excluded from this measure if they were assessed to be non-ambulatory during the Measurement Period OR were in hospice care during the Measurement Period.

To document a non-ambulatory assessment from the Fall Risk Screening flowsheet:

  1. Go to Encounter > Flowsheets/Labs > Standard Flowsheets
  2. Click Add New Flowsheet
  3. Select the Fall Risk Screening flowsheet and click Add
  4. Click Add Column
  5. Select Bed-ridden, Unable to walk, or Wheelchair bound for Patient exempt due to following reason
  6. Click OK to save

To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:

SNOMED CT: 385763009, 385765002

Order Status must be marked as Complete.

SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.

A patient will be counted in the numerator if they received a fall risk screening with the Morse Fall Scale assessment or through another screening method during the Measurement Period.

To document a screening using the Morse Fall Scale:

  1. Go to Encounter > Flowsheets/Labs > Standard Flowsheets
  2. Click Add New Flowsheet
  3. Select the Fall Risk Screening flowsheet and click Add
  4. Click Add Column
  5. Select a Value for all questions in the screening
  6. Click OK to save

To document the performance of a fall risk screening with a different screening tool:

  1. Go to Encounter > Flowsheets/Labs > Standard Flowsheets
  2. Click Add New Flowsheet
  3. Select the Fall Risk Screening flowsheet and click Add
  4. Click Add Column
  5. Select the Done checkbox for Other fall risk assessment performed
  6. Click OK to save

https://ecqi.healthit.gov/ecqm/ep/2018/cms139v6

 

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