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Problem
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Resolution: Resolved
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Moderate
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All records submitted to CMS 2022 reporting period that should be in the numerator for VTE1 & VTE2 that have INR > 3 and the date/time component also passing.
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Rural Wisconsin Health Cooperative
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Jeff Gremban
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920-562-2775
CMS doesn't score VTE1 & VTE2 in the Numerator when the algorithm and Cypress show that there is an "Encounter With Low Risk for VTE or Anticoagulant Administered" and the
["Laboratory Test, Performed": "INR"] INRLabTest
where INRLabTest.result > 3.0
and the QRDA also satisfies the time component:
such that LowRiskForVTE.LowRiskDatetime during VTE."FromDayOfStartOfHospitalizationToDayAfterAdmission" ( QualifyingEncounter )
CMS is scoring these records in the Denominator when it should be in the Numerator. I attempted to attach a qrda to this and I get "The attachment you attempted to upload is not allowed. Please contact your JIRA administrator." I attached some screenshots of the XML for the encounter and Lab Test instead.