CMS149v7 – Dementia: Cognitive Assessment

Dementia: Cognitive Assessment CMS149v7 Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
– DENOMINATOR

All patients, regardless of age, with a diagnosis of dementia.

– NUMERATOR

Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period.

-DENOMINATOR EXCEPTIONS

Documentation of patient reason(s) for not assessing cognition.

– APPLICATION WORKFLOW

For Denominator:
All patients, regardless of age, with a diagnosis of dementia are included in the denominator of this measure. To add a diagnosis, go to Patient > Provider Note > Diagnosis.

Patient must had at least 2 visits. The documentation of the first encounter takes place when one visit code is documented on the patient’s eSuperbill/ charge. To record a visit , navigate to Patient > Provider Notes > eSuperbill.

For Numerator:

Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period are included in the numerator. Any one of the following must be documented:

  • Standardized Tools for Assessment of Cognition (Patient > Clinical > Evaluations)
  • Cognitive Assessment Using Alternate Methods (Patient > Clinical > Evaluations)

To learn more about how to add Evaluations, click here.

For Denominator Exceptions:
Documentation of patient reason(s) for not assessing cognition.

To find out more about how to document patient refusals of clinical procedures, please visit: How to document refusals or denials?