Quality Measures

Epilepsy Quality Measures Approved January 2012
Epilepsy Quality Measures

On January 1, 2012 the Centers for Medicare and Medicaid Services (CMS) implemented quality measures for epilepsy care. The AES joined with the AAN and NAEC to develop a task force to develop quality measures that ultimately lead to the CMS approved measures. CMS approved the following measures that are to be voluntarily reported with an incentive payment now but required reporting is anticipated to start in 2014. Physicians who do not report these measures will be penalized 1 to 3% of Medicare reimbursement after required reporting is implemented. Eight measures were approved by the work-group that developed them, but only three were adopted by CMS:

  • The frequency of each seizure type should be reported at each visit
  • The etiology (or epilepsy syndrome) should be reported at each visit
  • Counseling for women of child bearing potential with epilepsy should be provided annually

The vast majority of epilepsy practitioners are already following these measures (so it is important to document each of these in the medical record for proper reimbursement) but they are often neglected by primary care doctors. Implementation of the measures should provide an enormous improvement in care for the many epilepsy patients cared for by primary care doctors.

For further information: Quality improvement in neurology: AAN epilepsy quality measures: Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology.