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Kareo Help Center

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

Updated: 10/09/2020
Views: 1884

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter.

Normal Parameters: Age 18 years and older BMI => 18.5 and <25 kg/m2
Denominator: All patients aged 18 years 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 is entered when you created the patient’s account.
  • Create a note detailing the patient’s office visit.
Denominator Exclusions: If patient refused BMI measurement:

If patient is pregnant:

  • "Pregnancy" is documented in the Problem List, with a Start Date. These patients will be excluded from the denominator.

If patients are in hospice care during the measurement period:

Denominator Exceptions: Indicate in the Care Checklist if there was a medical reason for not measuring vitals, or patient was 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 the Medical Contraindication from the drop-down.
Numerator: Patients with a documented BMI during the encounter or during the previous twelve months, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter.
  • 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:

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

Guidance: The most recent BMI will be used to determine if the performance has been met.
Quality ID: 128
CMS Measure ID: CMS69
Measure type: Process
Telehealth Eligible: No