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Annual Update
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Resolution: Answered
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Minor
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None
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Caitlin Davis
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Contractor/Mathematica
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The stated purpose of the denominator exclusion is to exclude patients with multiple fractures from trauma. But the requirement that the associated diagnoses of fracture must begin less than one day before surgery and must end after surgery is unnecessarily restrictive. These diagnoses may be associated with the precipitating event but may not end at a specified time. The end date criterion should be removed.
- relates to
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CQM-298 Excluding trauma patients from FSA
- Closed