CMS 139: Screening for Future Falls Risks

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Jesus Velasquez
    • 7866206252
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      CMS139v13 (2025 performance period). The numerator evaluates whether a fall risk assessment was performed at least once during the measurement period and does not require the assessment to be tied to a specific encounter. The assessment must be documented using a code from the Falls Screening value set (OID: 2.16.840.1.113883.3.464.1003.118.12.1028). Equivalent services can be mapped to the value set. If the mapping is done, documentation should be maintained in case of a CMS audit.

      A specific screening tool/method is not required for the measure. If the assessment performed assesses whether the patient has reported a fall or problem with gait/balance, and is documented using/mapped to one of the codes within the “Falls Screening” value set, that is all that will be needed for the numerator criteria. The date/time of the fall risk screening assessment should also be documented to meet screening requirements, i.e., at least once within the measurement period.

      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.
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      CMS139v13 (2025 performance period). The numerator evaluates whether a fall risk assessment was performed at least once during the measurement period and does not require the assessment to be tied to a specific encounter. The assessment must be documented using a code from the Falls Screening value set (OID: 2.16.840.1.113883.3.464.1003.118.12.1028). Equivalent services can be mapped to the value set. If the mapping is done, documentation should be maintained in case of a CMS audit. A specific screening tool/method is not required for the measure. If the assessment performed assesses whether the patient has reported a fall or problem with gait/balance, and is documented using/mapped to one of the codes within the “Falls Screening” value set, that is all that will be needed for the numerator criteria. The date/time of the fall risk screening assessment should also be documented to meet screening requirements, i.e., at least once within the measurement period. 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
    • Meeting of Numerator

      I wanted to take a moment to ask a question regarding CMS 139: Falls Screening. Can screenings for future fall risk be completed prior to an office or telehealth visit through patient self-reported questionnaires? Additionally, does the screening need to be performed on the date of the encounter and documented by a clinician, or can patient-completed questionnaires be accepted if reviewed and validated during the visit?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Jesus L Velasquez
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