URSA-PHF-042: Pre-Op 180 Day Episode Plan Spending
  • 27 Apr 2023
  • 1 Minute to read
  • Dark
    Light

URSA-PHF-042: Pre-Op 180 Day Episode Plan Spending

  • Dark
    Light

Article summary

Measure Description

Among surgery encounters, the total plan paid amount 180 days prior to the surgery encounter start date.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Long-Form
  • Denominator Case Field: Encounter ID
  • Target Direction: Down

Denominator Description

One record per 180-day period prior to surgery encounter start date; restricted to patient-periods with active plan membership.

Numerator Description

The total claim plan paid amount across 180 days leading up to a surgery encounter; including the day of the surgery encounter start date.

None.

FAQs

None.


Was this article helpful?