Specification & FAQ Question CMS 529

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    • Type: Other
    • Resolution: Unresolved
    • Priority: Moderate
    • None
    • Kristen Beatson
    • 3017878560
    • Not measure related
    • Not measure related

      See attached hybrid FAQ which says hospitals submit EHR data for all Medicare FFS patients meeting the initial population criteria including "patients discharged alive from an inpatient...."

      Please confirm that this is a typo in the FAQ. The logic for the Initial Population for CMS 529 does NOT exclude patients who expired. If they are discharged with a discharge status of expired, they are still included in the Initial Population based on the way the logic is currently written. Thank you!

      Logic:

      • Inpatient Encounters *

      • ["Encounter, Performed": "Encounter Inpatient"] InpatientEncounter
        with ["Patient Characteristic Payer": "Medicare payer"] Payer
        such that Global."HospitalizationWithObservationLengthofStay" ( InpatientEncounter ) < 365
        and InpatientEncounter.relevantPeriod ends during day of "Measurement Period"
        and AgeInYearsAt(date from start of InpatientEncounter.relevantPeriod)>= 65 

            Assignee:
            Samantha Mancuso (Inactive)
            Reporter:
            Kristen Beatson
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              Created:
              Updated: