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  1. QRDA Issue Tracker
  2. QRDA-1102

CMS submission for Lab INR in VTE1 & VTE2


    • 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.
    • Rural Wisconsin Health Cooperative
    • Jeff Gremban
    • 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.

        1. Encounter 1.png
          Encounter 1.png
          73 kB
        2. Encounter 2.png
          Encounter 2.png
          73 kB
        3. Lab Test INR.png
          Lab Test INR.png
          46 kB

            yanheras Yan Heras
            jgremban Jeff Gremban
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