CMS 144 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

• Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
• Create a note detailing the patient’s office visit.
• The diagnosis of "Heart Failure or Moderately" or "Severely Depressed Left Ventricular Systolic Function" is entered in the patient’s Problem List with a Start Date.
• LVEF results are manually entered in Labs/Studies.

• Beta Blocker Therapy is either prescribed at the time of the visit or within the twelve months prior to the visit and included in Medications.

• Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, intolerance, other medical reasons). Include a Start Date when adding any of these diagnosis in Problems, these patients will be excluded from the denominator.
• If "Allergy to Beta Blocker Therapy" is documented in the Allergies with a Start Date, these patients will be excluded from the numerator.
• If there was a Medical, Patient, or System Reason for not prescribing ACE inhibitor or ARB therapy, add the medication as Not Administered and select a reason (Medical Contraindication, Refusal of Treatment by Patient, Treatment not Available) for non administration.

• 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.