Removal of CMS_0063 Validation Rule

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    • Type: QRDA-I Standard
    • Resolution: Fixed
    • Priority: Low
    • Component/s: None
    • None
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      Updates have been made to the 2025 CMS QRDA I IG. Version 1.1 of the IG was published on 5/14/25. Updates are listed below:
      -CONF: CMS_0063 has been removed from section 5.3.1 Validation Rules for Encounter Period
      -Section 5.3.4 Feedback Message has been added.
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      Updates have been made to the 2025 CMS QRDA I IG. Version 1.1 of the IG was published on 5/14/25. Updates are listed below: -CONF: CMS_0063 has been removed from section 5.3.1 Validation Rules for Encounter Period -Section 5.3.4 Feedback Message has been added.
    • 2025

      Section 5.3.1 Validation Rules for Encounter Performed of the 2025 CMS QRDA I IG v1.0 includes CONF: CMS_0063 requiring an encounter discharge date within the defined reporting period:

      Current Language:

      Note that the validation rule CMS_0063 applies to inpatient eCQMs submissions ONLY.

      If the CMS program name is other than HQR_OQR, the system SHALL reject QRDA I files if there are no Encounter Performed Discharge Dates within the reporting period found in the QRDA (CONF: CMS_0063).

       

      Beginning with submissions for the 2025 reporting period, the CMS receiving system will no longer enforce this validation. QRDA I files submitted, regardless of the CMS Program code used, that do not contain data necessary to determine the outcome of a measure will generate the following message: "The submitted QRDA file did not produce outcomes for any of the specified measures."

            Assignee:
            Unassigned
            Reporter:
            Jennifer Seeman
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              Created:
              Updated:
              Resolved: