CMS139v11 – Falls: Screening for Future Fall Risk

Patients aged 65 years and older at the start of the measurement period with a qualifying visit during the measurement period.

A qualifying visit can include either 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
• Ophthalmological Services
• Preventive Care Services Individual Counseling
• Discharge Services Nursing Facility
• Nursing Facility Visit
• Care Services in Long Term Residential Facility
• Audiology Visit
• Telephone Visits
• Online Assessments
• Physical Therapy Evaluation
• Occupational Therapy Evaluation

– NUMERATOR

Patients who were screened for future fall risk at least once within the measurement period.

– DENOMINATOR EXCLUSIONS

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

For Denominator:

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

For Numerator:

To document a ‘Falls Screening’ assessment, use the workflow Patient > Provider Notes > Evaluations and search for the relevant assessment. From the Status dropdown, select ‘Performed’. Once done, click ‘Save & Accept’ or ‘Sign & Accept’.

For Denominator Exclusions:

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.