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Excluding patients from MU

MU, CQR, PQRS, etc.

Last Post by Anonymous 1 second ago

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ronmoses

(@ronmoses)

Posts: 158

Estimable Member

Topic starter

I'm convinced the answer to this question is no. But if I don't ask CHUG, they're going to tell me to do so, so I might as well cut to the chase.

One of our practices is going to start doing physicals for the local fire department. They don't want these visits counted for MU because they don't plan on doing a med reconciliation and all the other stuff that goes along with meeting the various measures. So they want me to figure out how to exclude these patients from MU.

As far as I understand it, there are two ways to do that. Either create the visit under a non-EP, or bill with some code that does not appear in the office visit/seen by value sets. Is anyone aware of any other way to exclude specific patients?

Posted : November 16, 2015 9:28 am

tcross

(@tcross)

Posts: 165

Estimable Member

Don't create it as an office visit. Create a document type that will not populate the document tyoes that MU recognizes to grab data from. You might want to create a document type called FD visit or FD physical. Most of the MU criteria rely on an offfice visit docuemnt type to know that it shold pull that data.

Posted : November 16, 2015 9:39 am

JBell

(@jbell)

Posts: 285

Honorable Member

It has been awhile since I have looked at meaningful use, but you may be able to create a document type that is not counted. So in the past it was three different document types that counted: office visit, office procedure, home care report. (Check page 14 of the MU guide). You may be able to create a new document type for these visits that would not count against MU. Then you could create a special encounter that would link to this type of document so users would not have to remember to change it.

Just a thought - it may work.

Posted : November 16, 2015 9:39 am

ronmoses

(@ronmoses)

Posts: 158

Estimable Member

Topic starter

We don't report by document type. We report by GE's MU value sets, which go by service charge.

Posted : November 16, 2015 9:43 am

dduschel

(@dduschel)

Posts: 207

Reputable Member

I think you are on the right track. If you can create a dummy code it shouldn't get picked up. Our dummy codes weren't. We created them with 25 mod on each E&M code so providers didn't have to pick the modifier. So I had to create some programing that pushed a generic patient encouter snomed code to get them to count. The data will still upload but it won't count in the denominator.

Posted : November 16, 2015 10:17 am

ronmoses

(@ronmoses)

Posts: 158

Estimable Member

Topic starter

And your billing department didn't have any problems charging for that dummy code?

Posted : November 16, 2015 10:19 am

dduschel

(@dduschel)

Posts: 207

Reputable Member

No they have some sort of edit the convertes it back ot the E&M and appropriate modifier. I don't pretend to know the specifics but I would think most billing systems need something like this since many CPT codes have different charges associated with them.

Posted : November 16, 2015 10:26 am

trichards

(@trichards)

Posts: 58

Trusted Member

Great suggestion tcross! If the document type does not include the word "office" than it will not pull the data.

Posted : November 20, 2015 2:11 am

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