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Type:
Bug/Issue
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Resolution: Resolved
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Priority:
Moderate
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CMS1028v2
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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals Question
EKI-23 is linked from the eCQI Resource Center for CMS1028v2 involving Reporting Year 2024. The resolution infers that the removal of codes should apply to the implementation of CMS1028v2. The resolution statement in EKI-23 is not in line with known issues in previous years. Changes to value sets midyear have not been tried since 2018.
How are hospitals expected to implement this for Reporting Year 2024? Mapping of ICD-10PCS is automated and there is clear coding documentation from billing workflows which would expose hospitals to risk of failing an audit.
CYPRESS-2702 indicates that the erroneous codes are still listed in the C1 Sample test criteria when selecting codes from the Blood Transfusion value set. We infer that this means that certified software should be able to record and capture all codes listed. A certified vendor implementing EKI-23 would potentially risk decertification.