CMS139v12 – Falls: Screening for Future Fall Risk

Falls: Screening for Future Fall Risk CMS139v12 Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
– DENOMINATOR

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.

– APPLICATION WORKFLOW

For Denominator:

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

eSuperbill for Encounter

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’.

Example of Fall Screening Assessment

For Denominator Exclusions:

  • To document that a 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)
Hospice Care Intervention
  • To document an inpatient encounter, navigate to Patient > Provider Note > Evaluations.
Example of Inpatient Encounter
  • 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.
Hospice Care Assessment
  • A hospice encounter can be documented through Patient > Provider Note > Evaluations or Patient > Provider Note > Create Superbill.