CMS 69 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan

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Updated: 06/13/2023 | Views: 2811

CMS 69 / Quality ID #128

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the measurement period AND who had a follow-up plan documented if BMI was outside of normal parameters.

Denominator:	All patients aged 18 and older on the date of the encounter with at least one eligible encounter 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 who are pregnant at any time during the measurement period. "Pregnancy" is documented under Problems with a Start Date. These patients will be excluded from the denominator. Patients receiving palliative or hospice care at any time during the measurement period. Hospice is documented under Hospice in History. These patients will be excluded from the denominator. Palliative Care is documented under Problems.
Denominator Exceptions:	Patients with a documented medical reason for not documenting BMI or for not documenting a follow-up plan for a BMI outside normal parameters (e.g., elderly patients 65 years of age or older for whom weight reduction/weight gain would complicate other underlying health conditions such as illness or physical disability, mental illness, dementia, confusion, or nutritional deficiency such as vitamin/mineral deficiency; patients in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status). On the date of service, click on Care Checklist from within the note. Select "Excepted" for Abnormal BMI Follow-up on the date that it was discussed with the patient which should be the date of the note. Select Medical Contraindication from the drop-down. Patients who refuse measurement of height and/or weight. Select "Patient refused to provide weight and/or height" from Vitals, then click Save. These patients will be excluded from the denominator.
Numerator:	Patients with a documented BMI during the encounter or during the measurement period, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the measurement period. BMI is calculated based on Height and Weight entered in Vitals. Select "Completed" for Abnormal BMI Follow-up in the Care Checklist on the date that it was discussed with the patient which should be the date of the note.
Office Visit Documentation:	Enter Procedure Codes including E/M Codes, HCPCS, or CPT Codes as applicable on the Charge Capture Complete and sign the note 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:	No