DIscrepancy in 2 Patients data.
The Status of Patient is not matching.
We have found discrepancy in the following 2 patients for CMS 61 part c measure:
firstname lastname Clinicalstatuscode (Actual) Cypress Status
GP_Adult C 6 8
THREE N N GP Adult 6 8
The expected status for both the patients is 8 (IPP qualified) however the patients are qualifying for status 6 ( Performance Not Met).
GP Adult C and THREE N N GP Adult patients should ideally qualify for the only 2 conditions mentioned below:
1) Age criteria
2) Encounter performed
However GP Adult C patient is qualified for additional Hypertension (Diagnosis) condition
And
THREE N N GP Adult patient is qualified for additional Patient Characteristic: Current Tobacco Smoker