CMS127v11 – Pneumococcal Vaccination Status for Older Adults

Pneumococcal Vaccination Status for Older Adults CMS127v11 Percentage of patients 66 years of age and older who have received a pneumococcal vaccine.
– DENOMINATOR

Patients 66 years of age and older at the start of the measurement period with a visit during the measurement period.

The qualifying visit can include any of the following:

  • Office Visit
  • Annual Wellness Visit
  • Preventive Care Services Established Office Visit, 18 and Up
  • Preventive Care Services Initial Office Visit, 18 and Up
  • Home Healthcare Services
  • Care Services in Long Term Residential Facility
  • Nursing Facility Visit
  • Discharge Services Nursing Facility
  • Online Assessments
  • Telephone Visits

– DENOMINATOR EXCLUSION

Patients who are in hospice care for any part of the measurement period.

– NUMERATOR

Patients who received a pneumococcal vaccination on or after their 60th birthday and before the end of the measurement period.

– APPLICATION WORKFLOW

For Denominator:

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

eSuperbill

For Numerator:

  • To document pneumococcal immunization, use the workflow Patient > Provider Notes > Immunization. Click ‘+Dosage’ and select ‘Administer Vaccine’ in the pneumococcal vaccine category. In the vaccine search window, search the pneumococcal vaccine. Complete the vaccine details and click ‘Save’.
Pneumococcal Immunization Administration
  • The document the administration of the pneumococcal vaccination as procedure, navigate to Patient > Provider Notes > Procedures. Click ‘Add’ and search for the relevant procedure. Once done, click ‘Save’.

    Pneumococcal Vaccination Procedure

For Denominator Exclusion:

To document a patient receiving hospice care, navigate to Patient > Provider Notes > Evaluations. Hospice Care can also be recorded by the workflow Patient > Provider Notes > Create Superbill. Under the ‘Procedure-CPTs’ heading, add the relevant hospice care code.

Hospice Care Evaluation