CMS 68v11: Documentation of Current Medications in the Medical Record

Measure: Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter
Measure TypeHigh Priority MeasureScoring
ProcessYesA higher percentage indicates better quality
DenominatorAll visits occurring during the 12 month measurement period for patients aged 18 years and older
NumeratorEligible professional or 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 ExceptionsDocumentation 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 ExclusionsNone
Denominator

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

  • Age is ≥ 18 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: 59400, 59510, 59610, 59618, 90791, 90792, 90832, 90834, 90837, 90839, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 92537, 92538, 92540, 92541, 92542, 92544, 92545, 92547, 92548, 92549, 92550, 92557, 92567, 92568, 92570, 92588, 92626, 92650, 92651, 92652, 92653, 96116, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 97802, 97803, 97804, 98960, 98961, 98962, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99236, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99339, 99340, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99385, 99386, 99387, 99395, 99396, 99397, 99495, 99496, 96156, 96158, 97129

HCPCS: G0101, G0108, G0270, G0402, G0438, G0439

Denominator Exceptions

A patient will be counted as an exception if a medication reconciliation was not performed due to an urgent medical situation.

To document an exception, go to Encounter > Medications and select the Medication Reconciliation Not Performed Due to Urgent Medical Situation checkbox.

Numerator

A patient will be counted in the numerator if a medication reconciliation is performed at every eligible encounter during the Measurement Period.

To document a medication reconciliation was performed for the patient, go to Encounter > Medications and select the Medication Reconciliation Performed checkbox.

eCQI Reference

https://ecqi.healthit.gov/ecqm/ep/2022/cms068v11

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