CMS 125 / Quality ID #112
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period.
|Denominator:||Women 52– 74 years of age by the end of the measurement period with a visit during the measurement period.
|Denominator Exclusions:||Women who had a bilateral mastectomy or unilateral mastectomy or have a history of bilateral mastectomy or for whom there is evidence of a right and a left unilateral Mastectomy:
Exclude patients who are in hospice care for any part of the measurement period.
Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.
Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advance illness criteria:
Exclude patients receiving palliative care for any part of the measurement period.
|Numerator:||Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period.
|Office Visit Documentation:||
Once all steps have been completed, the measure will be added to the Quality Measures Report.
|High Priority Measure:||No|