CMS-506 CDAC Validation

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Redirected
    • Priority: Moderate
    • Component/s: None
    • None
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      Thank you for your question about eligible hospital eCQM reporting requirements. We recommend you submit your question about EH eCQM reporting to the QualityNet Question and Answer Tool (https://cmsqualitysupport.servicenowservices.com/qnet_qa).

      To submit a question go to the question entry page at https://cmsqualitysupport.servicenowservices.com/qnet_qa?id=ask_a_question
      - Enter the required information designated by a red asterisk “*”
      - Under the Question Details section
           - Program: select “IQR – Inpatient Quality Reporting”
           - Topic: select “eCQM”
           - Subject: enter a short description of your question
           - Please describe your question: enter your complete question
      Show
      Thank you for your question about eligible hospital eCQM reporting requirements. We recommend you submit your question about EH eCQM reporting to the QualityNet Question and Answer Tool ( https://cmsqualitysupport.servicenowservices.com/qnet_qa ). To submit a question go to the question entry page at https://cmsqualitysupport.servicenowservices.com/qnet_qa?id=ask_a_question - Enter the required information designated by a red asterisk “*” - Under the Question Details section      - Program: select “IQR – Inpatient Quality Reporting”      - Topic: select “eCQM”      - Subject: enter a short description of your question      - Please describe your question: enter your complete question
    • CMS0506v7
    • There are two known issues with the 2025 CMS-506 logic and we will be validated by CDAC on these eCQMs. If review of the chart does not match the logic provided by CMS, we may unfairly be counted for a mismatch.

      How is CMS handling known issues in logic for eCQMs that will be validated by CDAC and impact IQR reimbursement?  CMS-506 has two known issues that may impact denominator exclusion outcomes when compared to reviewing the chart, but the guidance from CMS is to follow the provided CMS506v7 logic.  eCQM Known Issue - EKI-31

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Curin Herman
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              Created:
              Updated:
              Resolved:
              Solution Posted On: