Measure 130: Documentation and Verification of Current Medications in the Medical Record

This is a guide for 1.0 measure reporting. For 2.0 measure reporting, click here.

Prescription medication use is common among adults of all ages, particularly older adults and adults with chronic conditions. On average, 81% of adults in the U.S. are taking at least one medication (prescription or nonprescription, vitamin/mineral, herbal/natural supplement); 29% are taking five or more.  While these agents may provide some relief, they also may influence physical, mental, and emotional performance. We particularly worry about the impact on activity tolerance, clarity of thought and understanding, self-sufficiency, and motivation. This is a high priority measure and is eligible for one additional bonus point when reported with another high priority measure.

Note: This measure has been classified as topped out and is capped at 7 points.

Who can report this measure?

PTs, OTs, and SLPs are all eligible to report on this measure

Patient Qualifications

  • Patient age (18 or older)
  • Visit type (All)

When do I report on this measure?

Every visit,  when an eligible CPT code is billed. There is no diagnosis code associated with this measure.

Eligible Procedure Codes

  • PT: 97161, 97162, 97163, 97164
  • OT: 97165, 97166, 97167, 97168
  • SLP: 92521, 92522, 92523

Measure Requirements

Document all known medications on Subjective tab.

For each medication, include:

  • The medications’ name (e.g., Ibuprofen, Zetia, Vitamin D, St. John’s Wort, etc.)
  • Dosage (e.g., 25 mg)
  • Frequency (e.g., 2x daily)
  • Route of administration (e.g., oral, injection, sublingual, etc.)

Measure Specification

For more information on Measure 130, please see the Measure Specification Guide.

Measure Reporting in WebPT

On the Subjective tab, use the checkbox to add each type of medication and include the necessary information to satisfy measure requirements. If the patient has multiple medications for each category, you can include these in the comment box and reference this in your documentation.

When finished documenting, validate the selection in the MIPS tab.

What if the patient is not on medication?

If the patient is not taking any medications, please check the Not currently taking any medications checkbox  Then, select the Performance Met selection (Current Medications Documented) on the MIPS tab.

What if I want to scan the patient's prescriptions into the patient's chart?

After scanning the prescription list into eDoc on the patient's chart, please enter " See eDoc" in the comment box. Then check the Written provider documentation was obtained confirming that current medications with dosages were verified with the patient or authorized representative checkbox. Click here to learn more about scanning eDocs.

MIPS Tab: Reporting Selections

In the MIPS tab, the system will automatically select the measure that best fits your documentation. Below, we’ve indicated which selections meet the performance expectations.