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  1. eCQM Issue Tracker
  2. CQM-7587

IP-ExRad and OP-ExRad Qualification

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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 question regarding CMS1074v2 (Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility IQR)). We agree with the assessment that the CT scan should qualify for the inpatient program as that is where it was performed and is likely to be billed.
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      Thank you for your question regarding CMS1074v2 (Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility IQR)). We agree with the assessment that the CT scan should qualify for the inpatient program as that is where it was performed and is likely to be billed.
    • CMS1074v2

      Qualifying Scan During Inpatient Encounter

      ["Diagnostic Study, Performed": "CT dose and image quality category"] CTScan
      with "Qualifying Inpatient Encounters" InpatientEncounters
      such that Global."NormalizeInterval" ( CTScan.relevantDatetime, CTScan.relevantPeriod ) starts during InpatientEncounters.relevantPeriod
      and Global."NormalizeInterval" ( CTScan.relevantDatetime, CTScan.relevantPeriod ) ends during day of "Measurement Period"

      Example Scenario:

      Outpatient (encounter id 1)

      • Start of visit: 1/13/25 11:00
      • End of visit: Missing or 1/13/25 12:00

      Inpatient (encounter id 2)

      • Start of visit: 1/13/25 12:10
      • End of visit: 1/13/25 15:00

      Documentation of CT Scan (incoming from Alara) at 1/13/25 12:30 on encounter id 1

      Question: Should this CT scan qualify for Inpatient or Outpatient measure? We were thinking because the attribute logic used is based on timing it would Inpatient but wanted to verify.

            aweber Mathematica EH eCQM Team
            BD023650 Becky Crellin
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