CMS90v9 – Functional Status Assessments for Congestive Heart Failure
| Functional Status Assessments for Congestive Heart Failure | CMS90v9 | Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments |
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| – INITIAL POPULATION
Patients 18 years of age and older who had two outpatient encounters during the measurement year and a diagnosis of congestive heart failure. – DENOMINATOR Patients 18 years of age and older who had two outpatient encounters during the measurement year and a diagnosis of congestive heart failure. – NUMERATOR Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; PROMIS -10 Global Health, PROMIS-29) present in the EHR two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial functional status assessment – DENOMINATOR EXCLUSIONS Exclude patients with severe cognitive impairment that overlaps the measurement period. Exclude patients whose hospice care overlaps the measurement period. |
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| – APPLICATION WORKFLOW
For Denominator: Patients 18 years of age and older who had two outpatient encounters during the measurement year and a diagnosis of congestive heart failure. To document encounters, navigate to Patient > Provider Notes > eSuperbill
For Numerator: Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; PROMIS -10 Global Health, PROMIS-29) present in the EHR two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial functional status assessment System records difference between assessments based on the date of evaluations. To document assessment results, navigate to Patient > Clinical > Evaluations
For Denominator Exclusion Exclude patients whose hospice care overlaps the measurement period.
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