Measure 130
Documentation of Current Medications in the Medical Record
DESCRIPTION:
Percentage of visits for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
| MEASURE ID: | 130 |
|---|---|
| Type: | Process |
CMS Derm Specialty Set: | Yes |
| High priority: | Yes |
| Topped out: | Yes |
| Telehealth Eligible: | Yes |
| Reporting methods: | Registry/QCDR or EHR |
| Maximum points: | 7 |
MEASURE PURPOSE:
The measure encourages physicians to record all medications taken by patients, whether these are prescription medications, over-the-counters, herbals, or nutritional supplements. Accurately recording current medications can reduce harmful interactions.
Measure 130 FAQs
Q. Is this measure reportable via claims?
A. No.
Q. Are patient encounters conducted via telehealth allowable?
A. Yes, encounters coded with GQ, GT, 95, POS 02, or POS 10 modifiers are allowable.
Q. Does a list of current medications need to be updated/documented/reviewed by the clinician each visit?
A. Yes, this measure needs to be reported at every eligible encounter. This measure is now applicable for any patient, regardless of age.
Q. How are others reporting this measure in their EHR and how do I fulfill the measure if the patient does not have their dosage?
A. Providers should document, update, or review current medications and enter them into the medication portion of their EHR.
All known prescriptions
Over-the-counters
Herbals
Vitamin/mineral/dietary/nutritional supplements
Cannabis/cannabidiol products
This includes medication name, dosage, frequency and route of administration. If they are not sure, try to obtain estimates using all immediate resources available on the date of encounter.
Q. How do you report the measure if patient does not take medications?
A. If a patient reports taking no medications, document this in the medical record. This meets the numerator criteria of the measure.
Calculation
The numerator: Eligible clinician documents, updates, or reviews a patient’s current medications using all immediate resources available on the date of the encounter.
The denominator: All visits occurring during the 12-month measurement period.
Measure calculation example
Dr. Kim has 136 patient encounters during the 12-month performance period. This is the denominator.
Dr. Kim documented, updated, or reviewed the medication list during 122 encounters. This is the numerator.
Quality of patient care = 122/136. Dr. Kim has a score of 89.7% for this measure. This translates to 2.0 to 2.9 points when reporting by registry.
Important note
Because of how this measure is structured, physicians score 3 points even if they report on only one patient. This is applicable only to small practices with 15 providers or fewer. A score of 99.68% and above earns 5.0 to 5.9 points when reporting via registry. A score of 100% earns 7 points no matter which submission method is used.
Quality measure score benchmark
CMS will award points based on a comparison of your performance rate to CMS benchmarks listed below. Reach the performance rate listed to achieve the corresponding points per measure. Points achieved for the Quality category will account for 30% of the overall MIPS score.
Benchmarks for registry submissions
The table below shows CMS benchmarks for registry submissions.
| Decile 1 | Decile 2 | Decile 3 | Decile 4 | Decile 5 | Decile 6 | Decile 7 | |
|---|---|---|---|---|---|---|---|
|
Performance rate |
4.13 - 70.81 |
70.82 - 94.19 |
94.20 - 98.37 |
98.38 - 99.67 |
99.68 - 99.98 |
99.99 - 99.99 |
100 |
|
Points |
1.0 - 1.9 |
2.0 - 2.9 |
3.0 - 3.9 |
4.0 - 4.9 |
5.0 - 5.9 |
6.0 - 6.9 |
7 |
Benchmarks for EHR submissions
The table below shows CMS benchmarks for EHR submissions.
| Decile 1 | Decile 2 | Decile 3 | Decile 4 | Decile 5 | Decile 6 | Decile 7 | |
|---|---|---|---|---|---|---|---|
|
Performance rate |
3.4 - 60.63 |
60.64 - 80.57 |
80.58 - 88.71 |
88.72 - 92.94 |
92.95 - 95.65 |
95.66 - 97.44 |
97.45 - 100 |
|
Points |
1.0 - 1.9 |
2.0 - 2.9 |
3.0 - 3.9 |
4.0 - 4.9 |
5.0 - 5.9 |
6.0 - 6.9 |
7 |
