CMS126 Stratum age range code conflicts with guidance

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Done
    • Priority: Moderate
    • Component/s: Guidance, Measure
    • None
    • Tera Olds
    • Hide
      The age ranges in the measure guidance indicate the age the patient is at the end of the year. The matching age ranges in the Stratification Pseudocode are calculated as of 1/1 of the measurement year.
       
      Because the age is calculated based on 1/1 of the measurement period, the ranges in the logic match the ranges in the description. For example, if you are 10 years old on the first day of the measurement period, you will turn 11 sometime during the measurement period, so you should be included in the first stratum. If you are 11 years old on the first day of the measurement period, you will turn 12 during the measurement period and should be included in the second stratum.
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      The age ranges in the measure guidance indicate the age the patient is at the end of the year. The matching age ranges in the Stratification Pseudocode are calculated as of 1/1 of the measurement year.   Because the age is calculated based on 1/1 of the measurement period, the ranges in the logic match the ranges in the description. For example, if you are 10 years old on the first day of the measurement period, you will turn 11 sometime during the measurement period, so you should be included in the first stratum. If you are 11 years old on the first day of the measurement period, you will turn 12 during the measurement period and should be included in the second stratum.
    • CMS126v5/NQFna
    • Attestation clarification

      The text in the measure guidance in the "Stratification" section is in conflict with the pseudocode ranges. For example, stratum 1 in text guidance shows 5-11 and the pseudocode shows stratum 1 to require patients be less than 11 years old. CMS Medicare attestation and WI Medicaid attestation display the ranges as shown in the text guidance (5-11).

      Measure guidance:
      Report a total score, and each of the following strata:
      Stratum 1: Patients age 5-11
      Stratum 2: Patients age 12-18
      Stratum 3: Patients age 19-50
      Stratum 4: Patients age 51-64

      Pseudocode:
      Stratifications = ◦Stratification 1 =
      ◾ AND: Age>= 5 year(s) at: "Measurement Period"
      ◾ AND: Age< 11 year(s) at: "Measurement Period"

      ◦Stratification 2 = ◾ AND: Age>= 11 year(s) at: "Measurement Period"
      ◾ AND: Age< 18 year(s) at: "Measurement Period"

      ◦Stratification 3 = ◾ AND: Age>= 18 year(s) at: "Measurement Period"
      ◾ AND: Age< 50 year(s) at: "Measurement Period"

      ◦Stratification 4 = ◾ AND: Age>= 50 year(s) at: "Measurement Period"
      ◾ AND: Age< 64 year(s) at: "Measurement Period"

      Please confirm the appropriate age ranges for each stratification.

            Assignee:
            Mathematica EC eCQM Team (Inactive)
            Reporter:
            Tera Olds (Inactive)
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