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  1. eCQM Issue Tracker
  2. CQM-6479

ePC-07 Covid Exclusion criteria

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
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      Thank you for your submission. Noting this is a duplicate to [CQM-6465] (linked below). Please refer to the original ticket. Please create a new issue for any new or additional questions that are unrelated to the original thread.

      https://oncprojectracking.healthit.gov/support/browse/CQM-6465
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      Thank you for your submission. Noting this is a duplicate to [ CQM-6465 ] (linked below). Please refer to the original ticket. Please create a new issue for any new or additional questions that are unrelated to the original thread. https://oncprojectracking.healthit.gov/support/browse/CQM-6465
    • CMS1028v1
    • Including possible exclusions and/or excluding possible inclusions

      We are seeing clarification on the Denominator Exclusion for ePC-07. The specs state the denominator exclusion as "Inpatient hospitalizations for patients with confirmed diagnosis of COVID with COVID-related respiratory condition or patients with confirmed diagnosis of COVID with COVID-related respiratory procedure". Does a patient have to have both the COVID diagnosis AND a COVID-related respiratory condition or a COVID-related respiratory procedure to be excluded? We have a patient who tested positive for COVID during the delivery encounter but no other documentation related to any COVID-related respiratory conditions or procedures. They are not showing as a denominator exclusion so I am just trying to confirm that the patient would need the diagnosis AND a COVID-related respiratory condition or procedure to be excluded.

            JLeflore Joelencia Leflore
            adunn Amanda Dunn
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