Med Adherence
TOC
Preventative Screenings
Diabetic Measures
Exclusions
100

Ideally, physicians will prescribe maintenance medications to patients for this supply amount

What is 90-day supply?

100

The number of days a patient has to schedule a follow up appointment following an ED visit

What is 7?

100

To be completed during the current measure year or 9 years prior

What is colonoscopy?

100

A diabetic eye exam is a dilated exam checking for this in diabetic patients

What is diabetic retinopathy?
100

A woman age 75 is excluded from this measure screening

What is breast cancer screening?

200

It takes this number of fills for a patient to fall into a med adherence measure

What is 2?

200

This is what we do when we receive an IP Blob review for a patient who is still currently admitted

What is snooze?

200

To be completed every 2 years and 3 months

What is mammogram?

200

To be completed annually unless no evidence of retinopathy in prior year

What is diabetic eye exam?

200

A patient with a total colectomy is excluded from this measure screening

What is a colorectal cancer screening?

300

Some manufacturers offer these to cover the expense of high-cost medications for Medicare patients

What is patient assistance programs?

300

The number of days a patient has to schedule a follow up appointment following an IP hospitalization

What is 30?

300

To be completed during the current measure year or 2 years prior

What is cologuard?

300

The blood test used to measure kidney function for the kidney health evaluation measure for patients with diabetes

What is eGFR?

300

A 72-year-old woman prescribed a bisphosphonate is excluded from this measure screening

What is a DEXA scan?

400

This 3-letter abbreviation indicates whether a patient is adherent or nonadherent by determining the percentage of days a patient has access to their medication

What is PDC?

400

A TOC task should be canceled accordingly if a patient is deceased or discharged to this

What is hospice?

400

To be completed during the current measure year or 4 years prior

What is flexible sigmoidoscopy?

400

The urine test used to measure kidney function in the kidney health evaluation measure for patients with diabetes

What is uACR?

400

A diabetic patient suffering from myopathy is excluded from this measure

What is SUPD?

500

A PDC of less than this percentage indicates that a patient is nonadherent to their medication

What is 80?

500

Medication reconciliations can be pulled from primary care follow ups as well as these types of appointments scheduled after ED/IP discharge

What is specialty?

500
It is recommended that patients with a positive cologuard result follow up with this procedure

What is colonoscopy?

500

A quantitative urine albumin test AND a urine creatinine test must be completed this many days or less apart in order to meet the KED measure requirements

What is 4?

500
A patient in hospice is excluded from this measure

What is all measures?

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