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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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With the addition of encounters paid for by Medicare Advantage plans to the hybrid measures, providing the data required to link the CCDE files to claims data is essential to reach the data completeness requirements.
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Robert Trout
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281 785-0282
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St Luke's Health
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Instruction on data requirements to ensure capture of CCDE files for encounters ensured by MA plans.
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Instruction on data requirement to ensure capture of CCDE files for encounters ensured by MA plans.
The ecqi.healthit.gov website page for the 2024 hybrid measures states that for each hospitalization please also submit linking variables which include the Medicare Beneficiary Identifier (MBI)
I have been reviewing CCDE files generated for patients insured by Medicare Advantage plans. Many do not include the MBI number. How will CMS link CCDE files to the claims data for encounters covered by Medicare Advantage plans where a MBI number is not included in the CCDE file?
I saw a post on CHM-172 on the question linking CCDE files with claims data for submission with Medicare Advantage plans that don’t include the MBI numbers. Part of the response from the CMS hybrid measures team on Nov 7, 2024 was, “In terms of the feedback on MA and MBI, we are actively working on a response and will respond soon.” Please tell me if there are any updates on this issue?
https://ecqi.healthit.gov/ecqm/eh/2024/cms0529v4?qt-tabs_measure=measure-information
For each encounter please also submit the following Linking Variables:
CMS Certification Number,
Health Insurance Claim Number (HICN) or Medicare Beneficiary Identifier (MBI),
Date of Birth,
Sex,
Inpatient Admission Date, and
Discharge Date.