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Type:
Logic/Intent/Data Elements
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Resolution: Unresolved
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Priority:
Moderate
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Expected percentage for CCDE and linking variables will be impacted if Index Admission Exclusion is not applied prior to calculation.
Will the Index Admission Exclusions be applied prior to the percentage calculation to determine that we have successfully submitted 95% of linking variables and 90% of CCDE? Index Admission Exclusions listed below:
This measure excludes index admissions for patients:
admitted to a Prospective Payment System (PPS)-exempt cancer hospital;
without at least 30 days of post-discharge enrollment in Medicare FFS (in the case of patients who are not VA beneficiaries);
discharged against medical advice;
admitted for primary psychiatric diagnoses;
admitted for rehabilitation;
admitted for medical treatment of cancer; or
with a principal diagnosis code of COVID-19 (International Classification of Diseases, Tenth Revision, Clinical Modification [ICD-10-CM] code U07.1) or with a secondary diagnosis code of COVID-19 coded as present on admission (POA) on the index admission claim. These code specifications are outlined in the 2023 HWR Measure Code Specifications supplemental file here on QualityNet.