Measure Description
Among medical billing or claims service line items with a place of service code, HCPCS code, or revenue center code indicating an emergency department setting, the percentage of those documents that are not associated with an emergency department encounter. A positive result suggests missing data needed to identify an emergency department visit on that date.
Metadata
- Measure Type: Rate Measure
- Temporal Structure: Event
- Component Class: Normal-Form
- Denominator Case Field: Document ID
- Target Direction: Down
Denominator Description
Institutional and professional claims or billing service line items with a place of service code indicating an emergency department setting (POS = 23), a HCPCS code indicating emergency department evaluation and management, or a revenue center code indicating emergency department setting care.
Numerator Description
Denominator observations not matched to a corresponding emergency department visit encounter
Published Fields
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Data Model Keys
- Document ID
- Patient ID
- Service Line Number
- Billing Provider ID
- Payor ID
- Source ID
-
Date Fields
- Document Effective Date
- Parent Document Effective Start Date
- Parent Document Effective End 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)
-
Clinical Services Fields
- HCPCS Code
- HCPCS Description
- CMS Revenue Center Code
- CMS Revenue Center Description
- CMS Place of Service Code
- CMS Place of Service Description
-
Billing and Claims Fields
- Document Type Category
- CMS Type of Bill Code
-
Financial Fields
- Document Allowed Amount
- Document Plan Paid Amount
-
Numerator Fields
- ED Visit Encounter ID
-
Metadata Fields
- Document Type Description
-
Measure Fields
- Denominator