For those of you with GI as a specialty….I hope you found the previous article about # 9 helpful and are well on your way to reach the 96 required cases for reporting. The set up steps are the same for this measure but we are looking at a different set of data. Here are the steps with a slight variation from the other report:
- Obtain a printed procedure report from your billing software. It’s easier if you can pull just the colonoscopy codes with maneuvers (45380 through 45385 mostly and G0105).
- Compare the list to your daily charge batches and highlight those that do have a history of polyp or history of neoplasm.
- With the highlighted list, pull the medical record (paper or EHR) and document the date of the previous colonoscopy.
- Lastly, assign a “+” (plus sign) to the ones that meet the criteria and a “–” (minus sign) for those that do not.
*The total number highlighted is the denominator and the numerator is those that have a plus sign. Here is an example of how that looks using my friend’s and family’s names (keep in mind that the last 2 columns are handwritten by me):
| Physician | Patient | DOS | Procedure Code | Date of previous colonoscopy | Result | |
| 1 | Dr. ABC | Jessica | 4/1/2014 | 45380 | 2000 | + |
| 2 | Dr. ABC | Kari | 4/2/2014 | 45384 | 2009 | + |
| 3 | Dr. XYZ | Denise | 4/3/2014 | 45384 | 7-20-11 | + |
| 4 | Dr. XYZ | Leslie | 4/4/2014 | 45384 | 4-1-13 Piecemeal removal | – |
| 5 | Dr. LMN | Chris | 4/7/2014 | G0105 | 2010 | + |
| 6 | Dr. LMN | Eric | 4/8/2014 | 45380 | 3-12-11 | – |
| 7 | Dr. ABC | Linda | 4/1/2014 | 45384 | 2008 | + |
| 8 | Dr. ABC | Camey | 4/2/2014 | G0105 | 2004 | + |
| 9 | Dr. XYZ | Patrick | 4/3/2014 | 45385 | 11-22-2010 | + |
| 10 | Dr. XYZ | Camille | 4/4/2014 | 45380 | 2012 | – |
| 11 | Dr. LMN | Gabriel | 4/7/2014 | 45385 | 2006 | + |
| 12 | Dr. LMN | Sam | 4/8/2014 | G0105 | 2010 | + |
Denominator = 11 (line # 4 subtracted as it was less than 3 years and a piecemeal removal)
Numerator = 9
This measure took a few more minutes to complete because I had to have the charts pulled (you are delegating some tasks right?) then flip through each to find the date of the previous colonoscopy. Again, for a total of 24 cases that met the criteria in the month of June, I spent less than an hour to obtain the dates.
Here is a link to a great flow chart for this measure http://http://www.oqrsupport.com/media/tools/ASC-10_flowchart_FINAL_508.pdf
Time for a little bragging… I am done with my data collection so I am going to sit back, put my feet on my desk and have a….
Author: Casey McFarland