URSA-CORE-908: Claims or Bills with Duplicative Diagnosis Codes

Measure Description

Among institutional claims or bills, or professional claim or bill service line items, the percentage with one or more duplicative diagnosis codes.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Parent Document ID
• Target Direction: Down

Denominator Description

One per institutional claim or bill, or professional claim or bill service line items.

Numerator Description

One per denominator observation with two or more instances of the same diagnosis code.

Published Fields

• Data Model Keys

  • Duplicate Document ID
  • Parent Document ID
  • Patient ID
  • Payor ID
  • Source ID

• Date Fields

  • Document Effective Date
  • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
  • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)

• Metadata Fields

  • Document Type Description

• Measure Fields

  • Denominator
  • Numerator