Thank you for your inquiry on CMS2v13: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Patients screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter will meet the numerator criteria. Per the example you provided, the encounter on 12/7 with a depression screening that day may or may not count towards the numerator. If the screening was positive, a follow-up plan would need to be documented on the date of or up to two days after the date of the qualifying encounter for the patient to be included in the numerator population.