Heart Failure (HF)

PQRS Group Measures:

#5 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
#8 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
#47 Care Plan
#110 Preventive Care and Screening: Influenza Immunization
#130 Documentation of Current Medications in the Medical Record
#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
 

Patient sample criteria for the HF Measures Group:

Patients with two denominator eligible visits aged 18 years and older with a specific diagnosis of HF accompanied by a specific patient encounter:

One of the following diagnosis codes indicating heart failure:

ICD-9-CM [for use 1/1/2015 – 9/30/2015]:  402.01, 402.11, 402.91, 404.01, 404.03,404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30,428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, 428.9

ICD-10-CM [for use 10/1/2015 - 12/31/2015]:  I11.0, I13.0, I13.2, I50.1, I50.20, I50.21,I50.22, I50.23, I50.30, I50.31, I50.32, I50.33, I50.40, I50.41, I50.42, I50.43, I50.9

Accompanied by:

One of the following patient encounter codes:

99201, 99202, 99203, 99204, 99205,99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99324,99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344,99345, 99347, 99348, 99349, 99350

Download PQRS Heart Failure Measures Group Form: PQRS Heart Failure Measures Group Form PQRS Heart Failure Measures Group Form

Measure Group Description: Measure Group Description (from CMS)

Measure Group Flow: Measure Group Flow(from CMS)
 

2016 Heart Failure (HF)

Register now with MDinteractive, report on all applicable measures described above for a minimum of 20 unique patients (11 of which must be Part B Fee-For-Service patients) and avoid the 4% penalty.

An answer of "Not Done" on all patients on one measure will result in a performance rate of 0% and the provider will NOT get the PQRS incentive.

Each provider needs to sign a PQRS consent at http://mdinteractive.com/webpen

Register with MDinteractive