CMS 156 - Use of High-Risk Medications in the Elderly

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Updated: 11/11/2020
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CMS 156 / Quality ID #238

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported:

Percentage of patients who were ordered at least one high-risk medication
Percentage of patients who were ordered at least two different high-risk medications

Denominator:	All patients aged 65 years and older who had 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:	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.
Numerator 1:	Patients who were ordered at least one high-risk medication during the measurement period. High risk medications are prescribed under Medications.
Numerator 2:	Patients with at least two orders for the same high-risk medications during the measurement period. High risk medications are prescribed under Medications.
Office Visit Documentation:	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.
Measure type:	Process
High Priority Measure:	Yes
Telehealth Eligible:	Yes