CMS 139 Non-ambulatory patient screen

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Sarah
    • 2293537090
    • Southwell
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      Thank you for your inquiry regarding CMS139v14 (2026 Performance Period). This measure looks for the percentage of every patient 65 years of age and older, who had a qualifying encounter visit during the measurement period, and were screened for future fall risk at least once within the measurement period. Similar to other eligible clinician (EC) eCQMs, this measure is intended to be outpatient. This measure no longer excludes those patients who are identified as non-ambulatory via components of fall risk assessment due to data feasibility considerations.

      If you have questions about understanding measure requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs. For additional guidance regarding MIPS eligibility and participation options, you may submit questions to the QPP helpdesk.
      Show
      Thank you for your inquiry regarding CMS139v14 (2026 Performance Period). This measure looks for the percentage of every patient 65 years of age and older, who had a qualifying encounter visit during the measurement period, and were screened for future fall risk at least once within the measurement period. Similar to other eligible clinician (EC) eCQMs, this measure is intended to be outpatient. This measure no longer excludes those patients who are identified as non-ambulatory via components of fall risk assessment due to data feasibility considerations. If you have questions about understanding measure requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs . For additional guidance regarding MIPS eligibility and participation options, you may submit questions to the QPP helpdesk.
    • CMS0139v14
    • CMS0139v13
    • CMS0139v12
    • Non-ambulatory patient fall risk assessments are counting as "not met" due to the full screen not being completed.

      When a patient is screened for fall risk at our facility the initial question asked is if they are ambulatory. If the answer is no, the remaining questions on the screening tool are not answered. These fall risk screens for non-ambulatory patients are currently counting against us. There was a similar question asked on ONC in 2021 that seems to indicate the answer "no" to the initial question should satisfy the measure for those non ambulatory patients. I wanted to ask again with the question being dated several years back.

        1. fall risk screen.CMS139.png
          fall risk screen.CMS139.png
          11 kB

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Sarah Alberson
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              Created:
              Updated:
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