CMS157v11 – Oncology: Medical and Radiation – Pain Intensity Quantified

Oncology: Medical and Radiation – Pain Intensity Quantified CMS157v11 Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified.
– DENOMINATOR

All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy. A qualifying visit in this case is a face to face or telehealth encounter with ongoing chemotherapy.

Two chemotherapy sessions should be performed and the dates of the first and second chemotherapy sessions must not overlap. First chemotherapy session should be performed 30 days or less on or before the day of face to face/telehealth encounter and second chemotherapy session should be performed 30 days or less on or after the day of face to face/telehealth encounter.

Note: The cancer diagnosis is to be established at the time of the encounter.

– NUMERATOR

Patient visits in which pain intensity is quantified.

– APPLICATION WORKFLOW

For Denominator:

  • To record a face to face/telehealth encounter, navigate to Patient > Provider Note > Create Superbill. Under the ‘Procedures-CPTs’ heading, enter the relevant encounter code.
eSuperbill for Encounter
  • The cancer diagnosis can be documented via Patient > Provider Note > Diagnoses. Click ‘Add’ and search for the relevant diagnosis. Fill out any necessary details and once done, click ‘Save’. Then click ‘Accept’ to add the diagnosis to the provider note.
Example of Cancer Diagnosis
  • To record the ‘Chemotherapy Administration’ or ‘Radiation Treatment Management’ procedure, navigate to Patient > Provider Note > Orders > Procedures. Click ‘Add’ and search for the procedure. Add the procedure details and click ‘Save & Accept’ or ‘Sign & Accept’.
Example of Chemotherapy Administration

For Numerator:

To document the pain assessment, use the workflow Patient > Provider Note > Evaluations. Click ‘Add’ and search for a relevant pain assessment. From the ‘Status’ dropdown, select ‘Performed’, and add the result in the ‘Result’ field. Then click ‘Save & Accept’ or ‘Sign & Accept’.

Example of Pain Assessment