130. Documentation of Current Medications in the Medical Record

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.

Attest to documenting or not documenting current medications:

1. In a patient’s exam record in ExamWRITER, record the office visit.
2. Click the Patient Hx - ROS tab.
3. Click the Patient History category bar.
4. Select the Medications - Systemic/Ocular/Allergies [MU] check box and click Process.
5. Select the Systemic or Ocular radio button to record history associated with those areas.
6. Double-click the medication name in the table at the top of the window.
7. Type the dosage, strength, and route in the Notes column.
8. Select one of the following radio buttons:
   • Meds Documented. This selection was previously called Verified Medications. It will continue to autocode G8427, indicating that you met the performance measure.
   • Meds Not Documented. This selection was previously called Meds listed, not verified. It will continue to autocode G8428, indicating that you did not meet the performance measure.
   • Not Eligible. This selection was previously called Not available to verify. It will now autocode G8430, indicating a exception to meeting the measure.
9. Click Save.

Or document that the patient is ineligible due to an urgent or emergent medical situation:

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 Reviewed [MU] check box and click Process.
4. Select Patient is Ineligible for Medication Assessment and click Process.

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

Quality	130
NQF	0419e
CMS	68

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

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 18 years of age or older on date of encounter;

AND who had a visit during the measurement period:

Denominator Exceptions

Patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status:

Eligible clinician attests to documenting, updating or reviewing a patient’s current medications using all immediate resources available on the date of encounter. This list must include ALL known prescriptions, over-the counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosages, frequency and route of administration.

Performance Met

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

Performance Not Met

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