CMS68v6 – Documentation of Current Medications in the Medical Record

Documentation of Current Medications in the Medical Record CMS68v6 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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration.
DENOMINATOR

All visits occurring during the 12 month measurement period for patients aged 18 years and older.

– DENOMINATOR EXCEPTION

Patient refuses to provide current medication details

NUMERATOR

Eligible professional or eligible clinician attests 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
  • Medications’ name, dosages, frequency and route of administration

 

APPLICATION WORKFLOW

For Denominator:
All visits occurring during the 12 month reporting period for patients aged 18 years and older before the start of the measurement period.

The documentation of the first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge.

For Numerator:

To perform the following procedure, navigate to Patient > Clinical > Evaluations.

  • Current Medications Documented SNMD
  • Medications Encounter Code Set
Current Medications Documented SNMD

Denominator Exclusions:

Navigate to Patient > Clinical > Medications. All patients that have current medication(s) associated with their profiles are included in the Numerator of this measure. If they do not have any associated medication they are still included in the Numerator so long as the following checkbox is marked.

Medications