130. Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

This measure is to be reported at each denominator-eligible visit during the 12-month performance period. Eligible clinicians meet the intent of this measure by making their best effort to document a current, complete and accurate medication list during each encounter. There is no diagnosis associated with this measure. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Attest to documenting or not documenting current medications:

  1. Open the Clipboard.
  2. Tap Edit.
  3. Tap Medications.
  4. Complete all of the required information:
    • Medication name
    • Strength
    • Unit
    • Route
    • Dose
    • Frequency

    Each medication entered here must include all of the information listed here.

  5. Tap Save.
  6. 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 Meds.
  7. Select the appropriate procedure from the Quality 130 drop-downs.
  8. Tap Done.
  9. Document the rest of the exam and Finalize.
  • Registry
  • AAO IRIS

This topic describes how points are calculated for this measure. To learn more about scoring, go to Scoring.

Benchmarks are displayed here as both a chart and a table. The chart gives you a visual representation and helps you quickly compare benchmarks across different reporting methods. The table lists the specific benchmark criteria for each available reporting method.

This measure is capped at a maximum of 7 points based on performance.

 

Submission Method 3rd Decile 4th Decile 5th Decile 6th Decile 7th Decile 8th Decile 9th Decile 10th Decile
Registry 93.00– 98.22 98.23– 99.64 99.65– 99.94 99.95– 99.99 — — — 100
AAO IRIS 93.00– 98.22 98.23– 99.64 99.65– 99.94 99.95– 99.99 — — — 100

Patients 18 years of age or older on date of encounter;

AND who had a visit during the measurement period:

59400, 59510, 59610, 59618, 90791, 90792, 90832, 90834, 90837, 90839, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 92537, 92538, 92540, 92541, 92542, 92544, 92545, 92548, 92550, 92557, 92567, 92568, 92570, 92588, 92622, 92626, 96116, 96156, 96158, 97129, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 97802, 97803, 97804, 98960, 98961, 98962, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99236, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 99385*, 99386*, 99387*, 99395*, 99396*, 99397*, 99424, 99491, 99495, 99496, G0101, G0108, G0270, G0402, G0438, G0439

CPT codes listed with an asterisk (*) are noncovered services under the Physician Fee Schedule and will not be counted toward the denominator in claims-based reporting.

Denominator Exceptions

Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient’s current medications list (e.g., patient is in an urgent or emergent medical situation):

G8430

The eligible clinician attests to documenting, updating or reviewing the patient’s current medications using all immediate resources available on the date of the encounter.

Performance Met

Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient’s current medications:

G8427

Use G8427 if you document that the patient is not currently taking any medications.

Performance Not Met

Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given:

G8428