Revised 2016 PQRS REMINDER LIST

MEASURES

TYPE

PROCEDURE

DOCUMENTATION REMINDERS

146

Diagnostic Radiology

Screening Mammograms

Don’t assign Category 3 “Probably benign”

225

Diagnostic Radiology

Screening Mammograms

Notify patients of the date when their next screening mammogram is due

195

Diagnostic Radiology

MRA, CTA Neck, Carotid Angiogram, Neck Duplex

All stenosis percentages reference the distal internal carotid artery

405

Diagnostic Radiology

CT, MRI, US Abdomen, US Retroperitoneal

Do not recommend follow-up imaging for asymptomatic patients with incidental findings of liver lesion < 0.5cm, cystic kidney lesion <1.0 cm, or adrenal lesion < 1.0 cm alone

406

Diagnostic Radiology

CT, MRI, Chest or Neck or US Neck

Do not recommend follow- up imaging for incidental thyroid nodule < 1.0 cm alone

147

Nuclear Medicine

Bone Scans

Correlation with existing relevant imaging studies

145

Diagnostic and Interventional Radiology

Procedures Using Fluoroscopy

Radiation exposure indices, or exposure time and number of fluoroscopic images (if radiation exposure indices are not available)

436

Diagnostic Radiology and CT Guidance for Interventional Radiology

CT and CTA

One or more dose reduction techniques (e.g., Automated exposure control, adjustment of the mA and/or kV according to the patient size, use of iterative reconstruction technique)

21

Interventional Radiology

Perioperative Care

Documentation of order for first or second generation Cephalosporin for antimicrobial prophylaxis

22

Interventional Radiology

Perioperative Care

Documentation of an order for discontinuation of prophylactic parenteral antibiotics within 24 hours of surgical end time

23

Interventional Radiology

Perioperative Care

Documentation of an order for VTE prophylaxis or that VTE prophylaxis was given

76

Interventional Radiology

CVAD

Documentation of maximal sterile barrier technique – All of the following: Cap and mask and sterile gown and sterile gloves and sterile full body drape

Sterile Ultrasound Techniques – require sterile gel and sterile probe covers

130

Evaluation and Management

Consultations, Office Visits

List of all medications

131

Evaluation and Management

Consultations, Office Visits

Pain assessment on a standardized scale