CMS349v4 – HIV Screening

Patients 15 to 65 years of age at the start of the measurement period AND who had at least one outpatient visit during the measurement period.

– DENOMINATOR EXCLUSION:

Patients diagnosed with HIV prior to the start of the measurement period.

– NUMERATOR

Patients with documentation of an HIV test performed on or after their 15th birthday and before their 66th birthday.

For Denominator:

Patients aged 15 – 65 years at the start of the measurement period, having at least one office visit during the measurement period, are considered for the denominator of this measure. To record an encounter, navigate to Patient > Provider Note > eSuperbill. Under the ‘Procedures- CPTs’ heading, enter the encounter code.

• Preventive Care Services, Initial Office Visit, 0 to 17
• Preventive Care Services-Initial Office Visit, 18 and Up
• Preventive Care, Established Office Visit, 0 to 17
• Preventive Care Services – Established Office Visit, 18 and Up
• Office Visit

For Numerator:

Patients aged 15-65 at the time of HIV test, with a documentation of an HIV test performed before the end of the measurement period are included in the numerator. To perform a Laboratory Test, navigate to Patient > Clinical > Orders & Result > Labs to click on the ‘+ Add Order’ button.

• Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)
• HIV 1 and 2 tests – Meaningful Use set

Here, select a Laboratory and search for the HIV lab test. Once done, click on the ‘Save’ or ‘Sign’ button.

Next, click on the ‘Mark as Received’ button.

On the Lab result screen, add the observations and click on the ‘Save’ button.

Note:

Please ensure that the lab code is mapped to a LOINC Code from the Settings. To map a LOINC with the lab code, navigate to Settings > EHR > Laboratory. Select the Lab and navigate to the ‘Code’ tab. Then, click on the Lab Order. Under the ‘Result Codes and LOINCS’ heading, add a Code, LOINC and Description and click on the ‘Add’ button.

Once done, click on ‘Save’. 

When a CPT code is added to a lab order, please ensure that the CPT code is present in the ‘Procedures’. 

 Moreover, the CPT code should be mapped to a LOINC Code from the Settings. To map a LOINC with the CPT code, navigate to Settings > Billing > Procedure. Select the CPT code and navigate to the ‘Edit Procedure’ tab. Under the ‘Procedure Components’ heading, add a Code, LOINC and Description and click on the ‘Add’ button.

Once done, click on ‘Save’. 

For Denominator Exclusions:

Include Patients diagnosed with HIV prior to the start of the measurement period. To add a diagnosis, use the workflow, Patient < Provider Note < Clinical < Diagnosis. Search for a diagnosis, enter the diagnosis details, and click ‘Save’. Then click ‘Accept’ and the diagnosis is added to the provider note.