CMS 139v14: Falls: Screening for Future Fall 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 at the start of the measurement period 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 ExclusionsPatients who are in hospice care for any part of the measurement period
Denominator

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

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

    AND

  • Have at least one eligible encounter during the Measurement Period finalized by the EC
Encounter Codes Eligible for Denominator

CPT: 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 92002, 92004, 92012, 92014, 99401, 99402, 99403, 99404, 99315, 99316, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 92540, 92541, 92542, 92548, 98008, 98009, 98010, 98011, 98012, 98013, 98014, 98015, 98966, 98967, 98968, 99441, 99442, 99443, 98970, 98971, 98972, 98980, 98981, 99421, 99422, 99423, 99457, 99458, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168

HCPCS: G0402, G0438, G0439, G0071, G2010, G2012, G2250, G2251, G2252

Denominator Exclusions

Patients who were in hospice care during any part of the Measurement Period will be excluded from the measure.

Hospice Care Services

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

CPT: 99377, 99378

HCPCS: G0182

Order Status must be marked as Pending or Complete.

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

HCPCS: G9473, G9474, G9475, G9476, G9477, G9478, G9479, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5010, S9126, T2042, T2043, T2044, T2045, T2046

Order Status must be marked as Complete.

Numerator

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

Morse Fall Scale

To document a screening using the Morse Fall Scale:

  1. Go to Encounter > Flowsheets/Labs > Standard or Chart > Flowsheets/Labs > Standard
  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
Other Screening Methods

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

  1. Go to Encounter > Flowsheets/Labs > Standard or Chart > Flowsheets/Labs > Standard
  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
Sevocity Best Practice

If Other fall risk assessment performed is selected, the name of the screening tool should be documented in the encounter in which it was performed

eCQI Reference

https://ecqi.healthit.gov/ecqm/ec/2026/cms0139v14

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