CMS871v3 : Question Regarding Exclusions

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Duplicate
    • Priority: Moderate
    • Component/s: None
    • None
    • CMS0871v3

      Hello Team,

       

      Consider the following scenarios for denominator Exclusions:

      Patient A aged 21 years with

      Start of InpatientEncounter.relevantPeriod = 5/10/2024 9:00

      End of InpatientEncounter.relevantPeriod = 5/16/2024 10:00

      Start of EDEncounter.relevenat period= 5/10/2024 8:30:00

      End of EDEncounter.relevenat period= 5/10/2024 8:45:00

      having Glucose Lab Test Mass Per Volume documented on 5/10/2024 7:40 with value 1000 mg/dL and earlier glucose was documented on 5/10/2024 7:35 with value 800 mg/dL 

       

      Scenario 2:

      Patient B aged 21 years with

      Start of InpatientEncounter.relevantPeriod = 11/12/2024 4:00

      End of InpatientEncounter.relevantPeriod = 11/12/2024 7:00

      Start of Observation.relevenat period= 11/12/2024 3:00

      End of Observation.relevenat period= 11/12/2024 3:45

      having Glucose Lab Test Mass Per Volume documented on 11/12/2024 2:30 with value 1200 mg/dL and earlier glucose was documented on 11/12/2024 2:20 with value 1000 mg/dL.

      #Query1:

      From the above two scenarios, please help us understand which of the above 2 patients will be excluded and how?

      #Query2:

      Based on response provided on ticket https://oncprojectracking.healthit.gov/support/browse/QRDA-1153 we wanted to confirm if the validation of glucose test in exclusion is during hospitilizationwithobservation or only during IP encounter.

      #Query3 :

      The ticket response (QRDA-1153) for Earliest of function deviates from the ticket response (CQLIT-362). Please clarify which one to refer.

       

      Request you to provide us with the resolution urgently as our client deliverables are dependent on it.

            Assignee:
            Joelencia Leflore
            Reporter:
            gayatri kulkarni (Inactive)
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              Created:
              Updated:
              Resolved: