CMS 146 - Appropriate Testing for Pharyngitis

• Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
• Create a note detailing the patient’s office visit.
• The diagnosis of "Pharyngitis" or "Tonsillitis" is entered in the patient’s Problems with a Start Date.
• An antibiotic was prescribed in Medications with a Start Date on or three days after the visit.

• Hospice is documented under Hospice in History. These patients will be excluded from the denominator.

Exclude pharyngitis episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date.

• The diagnosis of the comorbid diagnosis is documented under Problems with a Start Date. These patients will be excluded from the denominator.

Exclude pharyngitis episodes when the patient is taking antibiotics in the 30 days prior to the episode date.

• An antibiotic was prescribed in Medications with a Start Date that is up to 30 days prior to the diagnosis of pharyngitis. These patients will be excluded from the denominator.

Exclude pharyngitis episodes where the patient had a competing diagnosis on or 3 days after the episode date within three days after the episode date.

• The diagnosis of the competing diagnosis is documented under Problems with a Start Date. These patients will be excluded from the denominator.

• "Group A streptococcus test" order is created under Labs/Studies.
• The clinician will have to sign the results when received. If results are not received via eLabs, the results will have to be manually added on the order created in Labs/Studies.

• Enter Procedure Codes including E/M Codes, HCPCS, or CPT Codes as applicable on the Charge Capture
• Complete and sign the note

Once all steps have been completed, the measure will be added to the Quality Measures Report.