AWV & Screenings
This screening, which uses code G0444 for patients 12 and older, identifies symptoms of depression.
What is the PHQ-9 Depression Screening?
For hypertension control, a patient's final blood pressure of the measurement year must be below these two numbers.
What is 140/90 mmHg?
Women ages 21 to 64 should receive this preventive cervical cancer screening within a 3-year window.
What is a Pap smear?
Following hospital discharge, an initial outreach call to the patient must be completed within this short timeframe.
What is 2 business days?
To improve medication adherence and reduce co-pay barriers, clinics encourage prescribing this duration supply for Tier 1 or Tier 2 medications.
What is a 100-day fill?
To improve adherence and lower costs, clinics are advised to discourage patients from doing this to their pills.
What is splitting pills?
Walkers, canes, and wheelchairs are examples of equipment listed under this exclusion category.
What is Frailty (or Mobility Devices)?
This assessment evaluates patients 65 and older to prevent accidental injuries from trips or tumbles
What is the Fall Risk Assessment?
Controlled diabetes requires an A1C test at this frequency interval unless unmanaged, where it becomes more frequent.
What is quarterly or every three months?
For colorectal health in adults aged 45–75, these three screening tools could be used to detect colon cancer.
What are Colonoscopy, Cologuard, and FIT Kit?
After an Emergency Department visit for a patient with multiple chronic conditions, outreach must occur within this number of days.
What is 7 days?
Code Z290.49 serves as the exclusion code for this procedure when documenting colorectal health metrics.
What is a Total Colectomy?
This class of blood pressure medications is specifically tracked under Hypertension Medication Adherence.
What are RASA medications?
Chronic kidney disease, heart failure, and COPD/emphysema are listed under this specific exclusion column on the quality tracking sheet.
What is Advanced Illness?
On a 0–10 scale, this evaluation should occur at every visit, but at minimum yearly, coded as 1125F for positive or 1126F for negative.
What is the Pain Assessment?
If an initial blood pressure reading is elevated in clinic, staff should recheck it at the end of the visit using this method.
What is taking a second BP on the opposite arm?
For normal results, what time frames would a rescreen be needed for Colonoscopy, Cologuard and Fit Kit testing?
What are 10 years, 3 years and 1 year?
Transitional Care Management (TCM) visits after a discharge must be fully completed within this range of days.
What is 7 to 14 days?
Code Z290.710 excludes a patient from female cervical health metrics, while code Z290.13 excludes a patient from breast health metrics.
What are a Complete Hysterectomy and a Bilateral Mastectomy?
On statin drug tables, active ingredients are restricted exclusively to these types of formulations.
What are oral formulations?
Sarcopenia, muscle wasting, and muscle weakness fall under this specific question header on the frailty assessment.
What is "Does your patient have this Problem?"
For patients 65 and older, this assessment is tracked under code 1170F to evaluate daily living capabilities.
What is the Functional Status Assessment?
Atorvastatin 40–80 mg and Rosuvastatin 20–40 mg fall under this specific statin therapy classification
What is High-Intensity Statin Therapy?
Women aged 50–74 fall within the target demographic for this routine breast cancer screening.
What is a Mammogram?
Medication reconciliation post-discharge and patient engagement post-discharge both must be finalized within this timeframe.
What is 30 days?
Rhabdomyolysis (M62.82) and Drug-induced Myopathy (G72.0) are exclusion diagnoses for this class of cardiovascular/diabetes medication.
What are Statins?
Fluvastatin, Pitavastatin, Pravastatin, and Lovastatin fall into this statin therapy classification when prescribed at standard doses.
What is Moderate-Intensity Statin Therapy?
Creutzfeldt-Jakob disease, Huntington's disease, Pick's disease, and ALS are neurological conditions classified under this section.
What is Advanced Illness?
While medication review uses code 1160F, this critical follow-up process uses code 1159F.
What is Medication Reconciliation?
For pediatric quality metrics, this screening and the Combo 7 series must be completed before the child reaches this age milestone.
What is by their 2nd birthday?
To assess osteoporosis management for patients 67–85 after a fracture, this imaging scan must be completed within 24 months prior or 6 months post-fracture.
What is a DEXA scan?
Care alignment guidelines state patients should be kept within this health system whenever possible to ensure full record access.
What is LECOM?
A frailty exclusion requires at least two qualifying frailty or advanced illness conditions to be billed at least this many times within the measurement year.
What is twice (2 times)?
Two common combination statin products listed on the formulary combine a statin with these two specific drugs.
What are Amlodipine and Ezetimibe?
Hepatic fibrosis, hepatic sclerosis, cirrhosis, and ESRD represent advanced conditions affecting these two major organ systems.
What are the Liver and Kidneys?