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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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None
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Patient sex is not linking to all patients. This has resulted in a negative impact in meeting the requirement
For both CMS 529 and CMS 844, we have confirmed with our HB team that the claims submitted match and have the patient sex listed. This was also confirmed within the patient EHR and generated QRDA files. Yet, we are still seeing HSR from CMS which have the patient sex as missing. We cannot determine missing sex variable on our end submission to CMS. Has there been any issues with this variable pulling properly into the CMS reports?