PC-07 Risk Adjustment POA Indicator code set values

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Thank you for your question about CMS1028/PC-07 Severe Obstetric Complications. If "E" is the code for POA exempt in your system, then it is appropriate to map your local code to the terminology code of "1" (numerical one).
    • CMS1028v3
    • eCQM risk adjustment not picking up certain diagnosis codes

      If coding is using the code "E" in the codeset to mark exempt, but the CMS value set says to use indicator "I" is it appropriate to only allow the I indicator for POA exempt or can the "E" codeset indicator be mapped to allign so risk variable diagnosis' can be picked up since I is not used for exempt.

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Scott Wright
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            1 Vote for this issue
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              Created:
              Updated:
              Resolved:
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