Submission of files for No Medicare fee-for-service patients

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    • Type: Other
    • Resolution: Unresolved
    • Priority: Moderate
    • 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.

            Assignee:
            Tamara Mohammed (Inactive)
            Reporter:
            Isbelia Briceno
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              Created:
              Updated: