CMS139v10 – Falls: Screening for Future Fall Risk

Patients aged 65 years and older with a visit during the measurement period.

– NUMERATOR

Patients who were screened for future fall risk at least once within the measurement period.

– DENOMINATOR EXCLUSIONS

Exclude patients whose hospice care overlaps the measurement period.

For Denominator:

Patients aged 65 years or older at the start of the measurement period with a qualifying encounter during the measurement period. To record an encounter, navigate to Patient > Provider Note > eSuperbill. Under the ‘Procedure- CPTs’ heading, enter the encounter code.

For Numerator:

Include patients with a ‘Falls’ screening performed during the measurement period. To document a falls screening performed, navigate to Patient > Clinical > Evaluations. Click ‘+Evaluation’ and search for an intervention. Select ‘Performed’ from the ‘Status’ dropdown and then click ‘Sign’ or ‘Save’.

For Denominator Exclusions:

Include patients who received hospice care during the measurement year. To document that patient is receiving hospice care outside of a hospital or long term care facility, navigate to Patient > Clinical > Evaluations. Use the below mentioned codes to order or perform an intervention:

• 385763009: Hospice Care (Regime/Therapy)
• 385765002: Hospice Care Management (Procedure)

• To document an encounter inpatient, navigate to Patient > Clinical > Evaluations