Home Forums Discussions Problems Meaningful Use - Blood Pressure (NQF 0018) Issue

We are recording Blood Pressure in the Most Recent Encounter section (in the blue boxes in the Physical Exam section). The numbers display in the blue bar to the right of the date (and the date is within the reporting period) under the label BP). Yet when running the MU Wizard, we do not pass for Controlling High Blood Pressure (NQF 0018). Has anyone else experienced this, or does anyone know how to make it work?

Also, the "Click to Attest" does not stay. We seem to have to click each time we go back into the Wizard). Is that normal?

Thank you.

You must use the billing portion of the note - the superbill portion in order to link the dx with the MU wizard somehow. This has been discussed in the MU Forum on this userboard. You need to put in a CPT with the DX 401.9 for that specific note. Run your wizard report before and then afterwards and you will see that your HTN numbers have changed.

Again - a cut and past from Wendell, which explains how to go back after the note has been signed to fix this:

FROM WENDELL'S DISCUSSION AND RESPONSE:
I am not doing this because IL Medicaid is not up to speed but....

If you are doing superbills (printing claim forms qualifies) you SHOULD be entering in the info needed.

To go back and put in the coding is not a big deal, but a bit time consuming. I DO NOT KNOW WHAT CODES NEED TO BE ENTERED BUT...

On the main screen, go to billing and the second item (or Control and D)
Pick the date (or dates) you want to edit. This will bring up a list of names.

If you click on one of the names, the billing section of the chart for that person will open.

You then click on Add CPT (lower middle third) and add the necessary CPT.

You pick a code (99213) and probably add a dx (htn, IDDM, ect)
Click "Save Changes" (lower R corner) and then close the chart.

It may ask you for pricing, I'm not sure. Doesn't matter because once a price is in, it will not ask again

Thank you very much for the information. I am disappointed that it is designed that way because we find AC's superbill feature very inconvenient and inefficient. We are using a separate program for billing. I will now need to check to see if there is another MU option that will not require the use of the superbill entry.

David,
I don't think this is as onerous as you are picturing it. As the provider signs each note, AC asks you for a cpt and a diagnosis code. Since you don't use AC for billing (as I don't) you may have clicked the box to turn off this request. Turn it back on, and simply have the provider pick a cpt as they sign the note. It need not even be the same one you actually use for billing. I believe that is all you need to do to get the wizard to count the encounter. Others can correct me if I am wrong about this.

The process described above by Wendell is only needed if you want to go back retrospectively and add a cpt to previously signed notes.

I will check that out. Thank you very much for the info, Jon