CMS 125 - Breast Cancer Screening

• Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
• Create a note detailing the patient’s office visit.

• If a "Bilateral Mastectomy" or "Unilateral Mastectomy" is documented under Hospitalizations/Procedures in History. These patients will be excluded from the denominator.

If patient was in Hospice during the measurement period:

• Hospice is documented under Hospitalizations/Procedures in History. These patients will be excluded from the denominator.

Exclude patients 66 and older who are living long term in an institution for more than 90 days during the measurement period:

• Long Term Care is documented under Long Term Care Facility in History. These patients will be excluded from the denominator.

Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured:

• Patient’s age is calculated based on the patient’s Date of Birth.
• "Advanced Illness" and "Frailty" is documented under Problems with a Start Date.

• A "Mammogram" order must be created under Labs/Studies.
• The clinician will have to sign the results when received. If results are not received via eLabs, the results will have to be manually added on the order created in Labs/Studies.
• To add a "Mammogram" previously completed by the patient, create a Lab Order Report.

• Enter Procedure Codes including E/M Codes or HCPCS Codes on the Superbill.
• Complete and sign the note.

Once all steps have been completed, the measure will be added to the Quality Measures Report.