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CMS771v5-Urinary Symptom Score Improvement Greater Than or Equal To 3

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      Thank you for your question regarding CMS771v5: Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia.

       

      For scenario 1, the case would not meet the Urinary Symptom Score Improvement Greater or Equal to 3 because the first assessment results of 10 and 12 and the follow-up assessment result of 11 is not 3 points or greater improvement.
       

      For scenario 2, the case would meet the Urinary Symptom Score Improvement Greater or Equal to 3 because the first assessment result of 10 and the follow-up assessment result of 6 is 3 points or greater improvement.
       

      Scenario 1 will not meet the numerator because the USS improvement was not 3 or greater. Scenario 2 would qualify for the numerator due to the USS improvement of 3 or more.
       
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      Thank you for your question regarding CMS771v5: Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia.   For scenario 1, the case would not meet the Urinary Symptom Score Improvement Greater or Equal to 3 because the first assessment results of 10 and 12 and the follow-up assessment result of 11 is not 3 points or greater improvement.   For scenario 2, the case would meet the Urinary Symptom Score Improvement Greater or Equal to 3 because the first assessment result of 10 and the follow-up assessment result of 6 is 3 points or greater improvement.   Scenario 1 will not meet the numerator because the USS improvement was not 3 or greater. Scenario 2 would qualify for the numerator due to the USS improvement of 3 or more.  
    • CMS0771v5

      Hi Team,

      Consider below statements from Numerator of CMS771v5:

      Urinary Symptom Score Improvement Greater Than or Equal To 3
      ( "Urinary Symptom Score Change" USSImprovement
          where USSImprovement >= 3
      ) is not null
       

      Urinary Symptom Score Change
      from
        "Urinary Symptom Score Within 1 Month after Initial BPH Diagnosis" FirstUSSAssessment,
        "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
        let USSChange: ( FirstUSSAssessment.result as Integer ) - ( FollowUpUSSAssessment.result as Integer )
        return USSChange

      Scenario 1
      Measurement year as 2024
      Consider a male Patient ABC. 
      Encounter code(during Measurement period)- 185463005
      Diagnosis code- N40.1 
      Diagnosis start date- 2023-12-20 00:00:00.000
       
      Procedure code- 80976-4(FirstUSSAssessment)
      Assessment startdate- 2024-1-13 19:59:00.000
      FirstUSSAssessment.result- 10
      FirstUSSAssessment.result- 12

      Procedure code- 80976-4(FollowUpUSSAssessment)
      Assessment startdate- 2024-8-13 19:59:00.000
      FollowUpUSSAssessment- 6
      FollowUpUSSAssessment- 11

      Scenario 2
      Measurement year as 2024
      Consider a male Patient ABC. 
      Encounter code(during Measurement period)- 185463005
      Diagnosis code- N40.1 
      Diagnosis start date- 2023-12-20 00:00:00.000
       
      Procedure code- 80976-4(FirstUSSAssessment)
      Assessment startdate- 2024-1-13 19:59:00.000
      FirstUSSAssessment.result- 10
      FirstUSSAssessment.result- 10

      Procedure code- 80976-4(FollowUpUSSAssessment)
      Assessment startdate- 2024-8-13 19:59:00.000
      FollowUpUSSAssessment- 6
      FollowUpUSSAssessment- 6

      QUERIES:

      1) Scenario 1- If there are multiple records for First or Followup USSAssessment.result with different result on same assessmentDatetime
      which records should be considered for calculation of Urinary Symptom Score Improvement Greater Than or Equal To 3. 

      2) Scenario 2- If there are multiple records for First or Followup USSAssessment.result with same result on same assessmentdate
      which records should be considered for calculation of Urinary Symptom Score Improvement Greater Than or Equal To 3. 

      3) Will Patient ABC and XYZ qualify for Numerator?

      Kindly assist us on the above queries urgently as client deliverables are dependent upon it.

            edave Mathematica EC eCQM Team
            AkashP Akash Pawar
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