CMS 90/MIPS 377 – Functional Status Assessments for Heart Failure

What is this Measure?

This measure evaluates the percentage of patients aged 18 years and older with heart failure who complete both initial and follow-up patient-reported functional status assessments.​

Populating the Denominator:

18 years or older. Have an active diagnosis of heart failure. Have had two outpatient encounters during the measurement period.

Populating visit code

Step 1: Open a Chart

Step 2: Open a Progress Note for the Patient for a billable office visit

Step 3: Enter procedure code representing qualified encounter in the procedure section

Applicable Codes:

SNOMEDCT:

185463005, 185464004, 185465003, 30346009, 3391000175108, 37894004, 439740005        
CPT:

99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 9921

Step 4: Input ICD-10 Code

Applicable Codes:

ICD10CM:

I509

Step 5: Repeat steps 1-4 for a 2nd date of service in the reporting period

• Initial Assessment: Conducted within two weeks before or during an eligible encounter, occurring in the 180 days or more before the end of the measurement period.

• Follow-Up Assessment: Completed at least 30 days but no more than 180 days after the initial assessment.

Populating the Numerator:

Create radiology orders for each progress note

Step 1: Create Radiology Order in your Initial Assessment note

Step 2: Input Global Mental Health (GMH) score (radiology order) codes

LOINC:

71971-6, 71969-0

Step 3: Add Result to Radiology Order

Step 4: Add result value, fill out required fields and click ‘Save’

A:

B:

Step 6: Repeat steps 1-5 on Follow-up assessment note. 30 Days apart both dates of service/labs

Important Note:

2 encounters and 2 radiology orders are necessary. 30 days apart for both dates of service/labs.

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