CMS124v12 – Cervical Cancer Screening

Cervical Cancer Screening	CMS124v12	Percentage of women 21–64 years of age who were screened for cervical cancer using either of the following criteria: Women age 21–64 who had cervical cytology performed within the last 3 years. Women age 30–64 who had cervical human papillomavirus (HPV) testing performed within the last 5 years.
– DENOMINATOR Women 24-64 years of age by the end of the measurement period with a visit during the measurement period A qualifying visit in this case can include any of the following: Office Visit Preventive Care Services Established Office Visit, 18 and Up Preventive Care Services Initial Office Visit, 18 and Up Home Healthcare Services Telephone Visits Online Assessments – DENOMINATOR EXCLUSIONS Women who had a hysterectomy with no residual cervix or a congenital absence of cervix. Exclude patients who are in hospice care for any part of the measurement period. Exclude patients receiving palliative care during the measurement period. – NUMERATOR Women with one or more screenings for cervical cancer. Appropriate screenings are defined by any one of the following criteria: Cervical cytology performed during the measurement period or the two years prior to the measurement period for women who are at least 21 years old at the time of the test. Cervical human papillomavirus (HPV) testing performed during the measurement period or the four years prior to the measurement period for women who are 30 years or older at the time of the test.

– APPLICATION WORKFLOW

For Denominator:

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

For Numerator:

To order a PAP/HPV test, navigate to Patient > Provider Note > Orders > Lab. Here, click ‘Add’ and select a lab from its dropdown and then search for a relevant lab test. Fill out any details as needed and once done, click ‘Save & Accept’ or ‘Sign & Accept’.

For Denominator Exclusions:

• A hysterectomy with no residual cervix can be documented through Patient > Provider Note > Orders > Procedures. Click ‘Add’ and search for the relevant procedure. Fill out any details if needed and once done click ‘Save & Accept’ or ‘Sign & Accept’.

• To record the diagnosis for congenital or acquired absence of cervix, use the workflow Patient > Provider Note > Diagnoses and click ‘Add’. Search for the diagnosis, add the diagnosis details, and click ‘Save’. Then click ‘Accept’ to add the diagnosis to the provider note.

• Patients who were in 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 > Provider Note > 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 inpatient encounter, navigate to Patient > Provider Note > Evaluations.

• To document a hospice care assessment, follow the workflow Patient > Provider Note > Evaluations. Click ‘Add’ and search for ‘Hospice Care [Minimum Data Set]’. Then select ‘Performed’ from the ‘Status’ dropdown and ‘Yes’ from the ‘Result’ field.

• A hospice encounter can be documented through Patient > Provider Note > Evaluations or Patient > Provider Note > Create Superbill.
• For patients receiving palliative care during the measurement period:
  • To record the ‘Palliative Care Encounter’, head over to Patient > Provider Note > Create Superbill
  • To record the ‘Palliative Care Intervention’, use the workflow Patient > Provider Note > Evaluations.

• To record the ‘Functional Assessment of Chronic Illness Therapy’ assessment, navigate to Patient > Provider Note > Evaluations.

• The “Encounter for palliative care” diagnosis can be recorded via Patient > Provider Note > Diagnoses.