Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7539

CMS1028, PC07

XMLWordPrintable

    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Hide
      Thank you for your inquiry regarding CMS1028v2/PC-07 (Severe Obstetric Complications). The intent of the measure is to report a single delivery encounter only. If combined, the two encounters should be merged into one encounter, so the resulting encounter counts toward the numerator (and denominator), only once. It may be beneficial to have the EMR vendor or your IT department verify that the report meets measure intent.
      Show
      Thank you for your inquiry regarding CMS1028v2/PC-07 (Severe Obstetric Complications). The intent of the measure is to report a single delivery encounter only. If combined, the two encounters should be merged into one encounter, so the resulting encounter counts toward the numerator (and denominator), only once. It may be beneficial to have the EMR vendor or your IT department verify that the report meets measure intent.
    • CMS1028v2
    • PC07 numerator

      When patients are re-admitted to the same facility within a specific timeframe our billing team combines the HARs for both encounters for billing purposes. This is resulting in the record hitting the numerator and denominator twice because it is being counted for both admissions since the 2nd encounter has the coding from the 1st admission included. Wondering if other facilities are seeing this and if there is any way to avoid? There is nothing in the measure specs that address combined HARs. 

            aweber Mathematica EH eCQM Team
            jknigh01 Jennifer Knight
            Votes:
            0 Vote for this issue
            Watchers:
            4 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: