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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Referred to External Party for Resolution
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Moderate
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None
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None
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CMS0334v5, CMS1028v2
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Reporting inaccuracies due to build needs in our EMR
Greetings,
We are working with our EMR Vendor to troubleshoot why we are not capturing our denominator population in our Labor and Delivery measures. There were a few things found that we document, however; not as a discrete value and, therefore; not captured in our reports. We are working to rectify where this information needs to be documented and we will have accurate reports soon. However, how will this affect our reporting for the 2024 reporting year? Our numbers will not be accurate, and we will not be able to change history on these patient charts, yet we've documented what was needed.
Will a less-than-stellar performance affect an incentive or cause a penalty in the 2026 payment year?
Thank you for your time!