CMS68v7 – Documentation of Current Medications in the Medical Record
| Documentation of Current Medications in the Medical Record | CMS68v7 | 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. |
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| – 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 to 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:
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| – APPLICATION WORKFLOW
For Denominator:
For Numerator: To perform the following procedure, navigate to Patient > Clinical > Evaluations.
 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.
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The documentation of the first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge.
