CMS349v5 – 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.

A qualifying outpatient visit in this case can include any of the following:

• 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

– 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:

To record an encounter, navigate to Patient > Provider Notes > Create Superbill. Under the ‘Procedure-CPTs’, enter the relevant encounter code.

For Numerator:

To order an HIV lab test, use the workflow Patient > Provider Notes > Orders > Lab. Click ‘Add’ and select a laboratory. Then, search for the relevant laboratory test. Fill out any details needed and once done, click ‘Save’.

For Denominator Exclusions:

The documentation of an HIV diagnosis can be done via Patient > Provider Notes > Diagnoses. Here, click ‘Add’ and search for the relevant diagnosis and fill out any details as needed. Once done, click ‘Save’.