eCQM STEMI OP40 Clarification on Exclusion Logic

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Unresolved
    • Priority: Moderate
    • Component/s: None
    • None
    • Sora Park
    • CMS0996v5
    • Diagnosis of Vtach, Vfib, or cardiac arrest originating from non-emergency encounters is qualifying for exclusion

      Example: A patient is admitted through the ED with STEMI is taken to the cath lab, where they later experience Vfib/Vtach arrest.
      Currently, this patient is excluded under Exclusion Diagnosis During ED Encounter or Within 24 Hours of ED Encounter Start, even though the Vfib/Vtach did not occur during or within 24 hours of the ED encounter.
      What would you recommend to prevent these patients from being incorrectly excluded? 
      Thank you for your guidance!

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Sora Park
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              Created:
              Updated: