While this is a problem across all the Quality Elements in our EMR this is a specific example:

Preventative Care and Screening: Screening for Depression and Follow up Plan. (CMS2v10). For this visit we use the SNOMED-CT code 439708006 Home visit (procedure). In our EMR the code counts for the denominator, and even following the EMR workflow, it does not count in the numerator. So for this element we have 69 in the denominator and 0 in the numerator despite all the the charts being annotated and follow up care documented. If we run a patient report by diagnosis consistently a few patients do not get included in the report. 

Our practice is end of life, geriatric, and ageing in place health care. We have no fixed clinic. The code we use is the only one provided to us by our EMR (Practice Fusion). Practice Fusion (PF) has consistently over the last four years said it is CMS issue with coding.  Specifically to the patient encounter type. 

Prior to 5 years ago our practice was always in the +80 percent on our MIPS reports. Since that time we have been unable to file a accurate representation of our work and the EMR help desk provides inconsistent and undocumented answers. This year this issue has spilled over into us  being unable to pull reports on patient groups thus impacting patient health and operations. Any background or help would be appreciated. 

This problem exists across all quality elements in our EMR.