We have a client QRDA file that has an Emergency Department Encounter that has an End Date/Time at the same time as the Start Date/Time of an Inpatient Encounter. We evaluated this first Inpatient Encounter for the CCDE. However, at the End of the first Inpatient Encounter, there is another with a different Inpatient Encounter value set code. It starts on the minute that the first Inpatient Encounter ends.

Both Inpatient Encounters contain CCDE, in the one QRDA visit file.

Will this Patient file be run through the Hybrid eCQMs twice, once for each Inpatient Encounter (different code and start/end date/times), when being evaluated by CMS? Should we only evaluate the first Inpatient Encounter, or each as a unique Episode of Care?