POA

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Hide
      Thank you for your question about CMS1028v3/PC-07 Severe Obstetric Complications. When developing the eCQM, it was determined that the values “U” & “W” essentially have the same outcome of unable to determine and were grouped together within the POA value set. An encounter with a POA value containing a “W” would be considered for the eCQM as a complication.
      Show
      Thank you for your question about CMS1028v3/PC-07 Severe Obstetric Complications. When developing the eCQM, it was determined that the values “U” & “W” essentially have the same outcome of unable to determine and were grouped together within the POA value set. An encounter with a POA value containing a “W” would be considered for the eCQM as a complication.
    • CMS1028v3
    • Difference between understanding of POA for coding and POA eCQM mapping

      The CMS POA Indicator definitions:

      Y=Yes, the diagnosis was POA

      W=Clinically undetermined.  Provider unable to clinically determine whether the condition was present at the time of inpatient admission.

      U=Documentation insufficient to determine if the condition was present at the time of inpatient admission.

      N=Diagnosis was NOT present at the time of inpatient admission.

      1= Exempt from POA reporting

      Y, W, and 1 would all be listed as "yes" or "n/a" for POA.  

      U, N would count as "NO" not POA.

      For the eCQM mapping, why is W (clinically undetermined) listed with U, N as Diagnosis Not present on Admission or UTD?  This would be considered a complication in the mapping.

      A diagnosis coded as W in the hospital record would not count as POA, but it would be mapped as a complication for the eCQM???

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            jaime zirkle
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: