Hi Team,

We need clarification for Denominator exclusion for CMS130v7

 ** 

Denominator Exclusions

• Hospice."Has Hospice"
•        or exists "Malignant Neoplasm"
•        or exists "Total Colectomy Performed"

Definition:

Hospice.Has Hospice

• exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice
•                       where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)"
•                                                     or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)"
•                       )
•                                      and DischargeHospice.relevantPeriod ends during "Measurement Period"
• )
•        or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder
•                                      where HospiceOrder.authorDatetime during "Measurement Period"
•        )
•        or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed
•                                      where HospicePerformed.relevantPeriod overlaps "Measurement Period"
•        )

In the eCQMs where the logic is referring to author date/time instead of the start date/time of Hospice Order

• if the start date/time of the Hospice order exists and is not null, then use it (instead of the author date/time) in the measure calculation,
• else if the start date/time of the Hospice order does not exists or is null, then use author date/time in the measure calculation