226. Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Screen the patient for tobacco use:

1. Open the Clipboard.
   1. Open the Patient Chart.
   2. Tap the More action bar icon and select Clipboard.
2. Tap Edit.
3. Tap Social History.
4. Select a Smoking Status.

   If the status is former smoker or nonsmoker, the measure is met; otherwise, compete the following steps.

5. Tap Mark Reviewed.
6. Open the Ocular Exam.
7. Select a tobacco use disorder Diagnosis.
8. Select a counseling Plan.
9. Select the Smoking Cessation Counseling section check box.

   

10. Tap Done.
11. Document the rest of the exam and Finalize.

Alternatively, code quality with a special plan:

1. Open the Ocular Exam.
2. Select a Diagnosis and Plan.
3. Tap Special Plans and select MIPS.
4. From Popular Plans, select MIPS Quality.
5. Tap the More tab.
6. Select TOB.
7. Select the appropriate procedure from the Quality 226 drop-down.
8. Tap Done.
9. Document the rest of the exam and Finalize.

Screen the patient for tobacco use:

1. In a patient’s exam record in ExamWRITER, click the Patient Hx - ROS tab.
2. Click the Patient History category bar.
3. Select the Social [MU] check box and click Process.
4. Record the patient’s tobacco use status using the check box at the top of the Social History window and the options in the Tobacco Use [MU] box. If the patient is a tobacco user, you must select the patient’s tobacco use and the Counseling Intervention Performed check box.

   

5. Click Process.

Eyefinity products and documentation refer to the MIPS quality numbers. Other measure numbering systems are listed here for your reference.

Quality	226
NQF	0028
CMS	138

• Claims
• EHR (ExamWRITER only)
• Registry (Eyefinity EHR only)

Reporting methods vary by measure and EHR system. For more information about how different measures and reporting methods are scored, refer to the topic that corresponds with your EHR:

• Eyefinity EHR Quality Scoring and Benchmarking
• ExamWRITER Quality Scoring and Benchmarking

Patients aged 18 years or older;

AND

Who had at least two visits during the measurement period:

OR who had at least one preventive visits during the measurement period:

Denominator Exclusions

Telehealth modifier:

Denominator Exceptions

Documentation of medical reason(s) for not screening for tobacco use (eg, limited life expectancy, other medical reason):

Patients who were screened for tobacco use at least once within 24 months;

AND who received tobacco cessation intervention if identified as a tobacco user.

Performance Met

Patient screened for tobacco use AND identified as a tobacco user:

OR

Patient screened for tobacco use AND identified as a tobacco nonuser:

Performance Not Met

Patient not screened for tobacco use, reason not given:

Patients aged 18 years or older;

AND identified as a tobacco User in Numerator 1:

AND

Who had at least two visits during the measurement period:

OR who had at least one preventive visits during the measurement period:

Denominator Exclusions

Telehealth modifier:

Denominator Exceptions

Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g., limited life expectancy, other medical reason):

Patients identified as a tobacco users who received tobacco cessation intervention.

Performance Met

Patient received tobacco cessation intervention (counseling and/or pharmacotherapy):

Performance Not Met

Patient did not receive tobacco cessation intervention (counseling and/or pharmacotherapy), reason not given:

Patients aged 18 years or older;

AND

Who had at least two visits during the measurement period:

OR who had at least one preventive visits during the measurement period:

Denominator Exclusions

Telehealth modifier:

Denominator Exceptions

Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason):

OR

Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g., limited life expectancy, other medical reason):

Patients who were screened for tobacco use at least once within 24 months;

AND who received tobacco cessation intervention if identified as a tobacco user.

Performance Met

Patient screened for tobacco use AND received tobacco cessation intervention (counseling, pharmacotherapy, or both), if identified as a tobacco user:

OR

Current tobacco nonuser:

Performance Not Met

Tobacco screening not performed OR tobacco cessation intervention not provided, reason not otherwise specified: