Measure Title: Cognitive Assessment with Counseling on Safety and Potential Risk
Description: Percentage of patients, regardless of age, referred for evaluation due to concerns for cognitive impairment for whom 1) a standardized valid assessment of cognition was performed and 2) reporting of results included counseling on safety and potential risks.
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Denominator: All patients regardless of age with a diagnosis that supports medical necessity for evaluation of cognitive functioning.
Denominator Criteria (Eligible cases):
All patients, regardless of age, where there is documentation of concerns regarding cognitive changes or difficulties. Reported concerns may come from: the patient, a treating provider, or a caregiver of the patient.
AND
Patient encounter during the performance period (CPT):
96156; 96116; 96121; 96132; 96133; 96146; 96105; 96125; 96110
Numerator:
Patients for whom a standardized valid assessment of cognition* was performed and reporting of results included counseling on safety and potential risks*.
Standardized cognitive assessment – refers to the administration of reliable and research-validated assessment methods or tests that cover one or a combination of the following cognitive domains: memory, language, visual-spatial, executive functioning, academic skills, developmental level, intellectual functioning, attention, and processing speed. Depending on medical needs, referral question, and patient characteristics, cognitive assessment may entail targeted assessment of a particular cognitive domain or a comprehensive assessment battery encompassing multiple domains.
Assessment of functional abilities and activities of daily living may also be included in these evaluations. Psychological functioning may also be formally assessed to identify whether emotional or social factors are influencing cognitive functioning. Meeting performance for this measure
Denominator Exclusions: Death
Denominator Exceptions: Patients present with an acute condition or crisis who are not administered a standardized cognitive assessment
OR
Patient refuses to participate or is unable to complete the assessment
National Quality Forum (NQF) number, if applicable
N/A
Care setting(s)
Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Home Care; Hospital; Hospital Inpatient; Hospital Outpatient; Long Term Care; Nursing Home; Outpatient Services; Rehabilitation Facility
Telehealth, if applicable
Yes
Number of performance rates required for measures
1
Traditional vs. inverse measure
Traditional
Proportional, continuous variable, and/or ratio measure indicator
Proportional
Risk adjustment, if applicable
No
Submission pathway
Traditional MIPS