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CMS 130 - Colorectal Cancer Screening

Updated: 12/09/2021
Views: 2051

CMS 130 / Quality ID #113

Percentage of patients 50 through 75 years of age who had appropriate screening for colorectal cancer.

Denominator: Patients 50-75 years of age at the start of the measurement period with a visit during the measurement period.
  • 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.
Denominator Exclusions: Patients with history of or diagnosed with Malignant Neoplasm of Colon:
  • "Malignant Neoplasm of Colon" is documented in the Problem List with a Start Date or "Malignant Neoplasm of Colon" is documented in Hospitalizations/Procedures. These patients will be excluded from the denominator.

If patient has history of Total Colectomy:

If patient was in Hospice during the measurement period:

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

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.
Numerator: Patients with one or more screening for colorectal cancer.
  • "Fecal Occult Blood Test (FOBT)" is ordered in Labs/Studies during the measurement period.
  • "Flexible Sigmoidoscopy" is documented under Hospitalizations/Procedures with a date that is during the measurement period or the four years prior to the measurement period. Or, it can also be documented in the Problem List with a Start Date.
  • "Colonoscopy" is documented under Hospitalizations/Procedures with a date that is during the measurement period or within the nine years prior to the measurement period.
  • A "FIT-DNA" test order is created in Labs/Studies AND the order is submitted via eLabs.
  • A "CT Colonography" is documented under Hospitalizations/Procedures with a date that is during the measurement period or within the nine years prior to the measurement period.
Office Visit Documentation:

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

Measure type: Process
High Priority Measure: No
Telehealth Eligible: Yes
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