CMS149v12 – Dementia: Cognitive Assessment

All patients, regardless of age, with a diagnosis of dementia who have two or more visits during the measurement period.

A qualifying visit in this case includes any of the following:

• Psych Visit Diagnostic Evaluation
• Nursing Facility Visit
• Care Services in Long Term Residential Facility
• Home Healthcare Services
• Psych Visit Psychotherapy
• Behavioral/Neuropsych Assessment
• Occupational Therapy Evaluation
• Office Visit
• Outpatient Consultation
• Patient Provider Interaction

Note: The dementia diagnosis should be established during a visit.

– 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.

For Denominator:

• To record a qualifying visit, navigate to Patient > Provider Note > Create Superbill. Under the ‘Procedure – CPTs’ heading, enter the relevant encounter code.

• The ‘Patient Provider Interaction’ can be recorded through Patient > Provider Note > Evaluations. Click ‘Add’ and search for the relevant interaction and from the ‘Status’ dropdown select ‘Performed’. Once done, click ‘Save & Accept’ or ‘Sign & Accept’.

• The documentation of dementia diagnosis can be done via Patient > Provider Note > Diagnoses. Here, click ‘Add’ and search for the relevant diagnosis. Fill out any necessary details and once done, click ‘Save’.

For Numerator:

To record an assessment/intervention, navigate to Patient > Provider Note > Evaluations. Click ‘Add’ and search for an assessment/intervention. Select ‘Performed’ from the ‘Status’ dropdown and enter a result in the ‘Result’ field. Then click ‘Save & Accept’ or ‘Sign & Accept’.

For Denominator Exceptions:

To document reasons for not performing an assessment/intervention, navigate to Patient > Provider Note > Evaluations. Click ‘Add’ and search for an assessment/intervention. Select ‘Not Performed’ from the ‘Status’ dropdown and select a reason from the ‘Reason’ dropdown. Then click ‘Save & Accept’ or ‘Sign & Accept’.