When we’re reviewing your clinicians’ data, it may be helpful to know what we are looking for in order for us to verify to CMS that your data is accurate and complete. Measure 351 requires documentation of the evaluation of patients undergoing a total knee replacement for the presence or absence of venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure.
This documentation may be found in the patient’s medical record. The relevant document should be made available to the auditor for the patient requested.
What are you looking for in the medical record?
We’re looking for an evaluation of the patient for the presence or absence of venous thromboembolic and cardiovascular risk factors within 30 days prior to the knee replacement surgery. This would include physician notes on the patient’s history of:
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism (PE)
- Myocardial Infarction (MI)