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Type:
Other
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Resolution: Unresolved
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Priority:
Moderate
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None
Submission of files for No Medicare fee-for-service patients:
If a QRDA file is generated and submitted to CMS for the voluntary Hybrid Readmission measure, but the patient's visit was not billed as 'Medicare fee-for-service' (a different type of Payer was used for the visit). Will the engine ignore that file when calculating the risk-standardized readmission rate for the hybrid HWR measure?
Is part of CMS data evaluation to confirm the patients are 'Medicare fee-for-service' patients?
Thanks.