eCQM Specification Clarification

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    • Type: Other
    • Resolution: Unresolved
    • Priority: Moderate
    • Cannot finalize build for voluntary submission until we determine if certain medicare plans should be included.
    • Shannon Kersanske
    • 978-289-3040
    • South Shore Health

      I am inquiring on both ECQM844 Hospital Wide Mortality and ECQM529 Hospital Wide Morbidity Measures.

       

      The specification states:

      All Medicare Fee-For-Service encounters age 65 to 94 years at the start of an inpatient admission, who are discharged during the measurement period (length of stay <365 days).

       

      NOTE: All Medicare Fee-For-Service encounters meeting the above criteria should be included, regardless if Medicare Fee-For-Service is the primary, secondary, or tertiary payer.

      1. Can you please confirm that all Medicare plan products should be included in the denominator? a. Examples: Supplemental or wrap plans, Replacement plans, SCO (Dual eligible plans), Medicare managed care plans; and public payer plans

            Assignee:
            Michael Cocchiola (Inactive)
            Reporter:
            Shannon (Inactive)
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              Created:
              Updated: