CMS149v5 – Dementia: Cognitive Assessment

All patients, regardless of age, with a diagnosis of dementia.

– NUMERATOR

Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period.

-DENOMINATOR EXCEPTIONS

• Documentation of medical reason(s) for not assessing cognition (eg, patient with very advanced stage dementia, receiving palliative care, other medical reason)
• Documentation of patient reason(s) for not assessing cognition

For Denominator:
All patients, regardless of age, with a diagnosis of dementia are included in the denominator of this measure. To record visit and diagnosis, go to Patient > Provider Note > Diagnosis.

For Numerator:

The documentation of the first encounter takes place when one visit code is documented on the patient’s eSuperbill/ charge.

Patients for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period are included in the numerator. Any one of the following must be documented:

• Standardized Tools for Assessment of Cognition (Patient > Clinical > Evaluations)
• psychological Cognitive Testing and Assessment (Patient > Clinical > Evaluations)

To learn more about how to add Evaluations, click here.

-Denominator Exceptions

• Documentation of medical reason(s) for not assessing cognition (eg, patient with very advanced stage dementia, receiving palliative care, other medical reason)
• Documentation of patient reason(s) for not assessing cognition

To find out more about how to document patient refusals of clinical procedures, please visit: How to document Refusals or denials?