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Type:
Value Sets
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Resolution: Unresolved
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Priority:
Blocker
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None
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Aditi Wage
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Because this issue involves measure intent, we request the CHM team review the response and confirm accuracy.
One of the criteria in Initial Population states:
end of Payer.participationPeriod != start of InpatientEncounter.relevantPeriod
Consider scenarios below:
Scenario 1-
Patient ABC aged 66 years is documented with:
Inpatient encounter code - 183452005
IP admit - 1/1/2021 04:45:00
IP discharge - 12/25/2021 04:30:00
Medicare payer code – 1
Start Date Payer participation - 1/1/2021 04:45:00
End Date Payer participation - 1/1/2021 04:45:00
Length of Stay for Inpatient - 359 days
Scenario 2-
Patient XYZ aged 66 years is documented with:
Inpatient encounter code - 183452005
IP admit - 1/1/2021 04:45:00
IP discharge - 12/25/2021 04:30:00
Medicare payer code – 1
Start Date Payer participation - 1/1/2021 04:45:00
End Date Payer participation - 1/5/2021 04:45:00
Length of Stay- 359 days
Query:
1. Which of the above 2 patients will qualify for the Initial Population?