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Type:
Hosp Inpt eCQMs - Hospital Inpatient eCQMs
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Resolution: Referred to External Party for Resolution
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Priority:
Moderate
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Component/s: None
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None
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CMS1218v2
Patient arrived at the hospital on 7/24/2024 and had an elective total knee surgery on the same day. During hospital stay, he was converted from outpatient to inpatient status on 7/25/2024. The claim that we sent to CMS shows 7/25/2024 as the Admission Date.
- What should the Admission Date be for the THA/TKA PROM reporting?
- Other than MBI, what other data elements would CMS use to match patients to claims?
- Would there be any negative impact on meeting the THA/TKA PRO reporting requirements if hospitals submit incorrect admission date?