CMS 68v13: Documentation of Current Medications in the Medical Record

Measure: Percentage of visits for patients aged 18 years and older for which the eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter
Measure Type High Priority Measure Scoring
Process Yes A higher percentage indicates better quality
Denominator All visits occurring during the 12 month measurement period for patients aged 18 years and older
Numerator Eligible clinician attests to documenting, updating or reviewing the patient's current medications using all immediate resources available on the date of the encounter
Denominator Exceptions Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient’s current medications list (e.g., patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient's health status)
Denominator Exclusions None

 

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