URSA-CORE-930: Claims or Billing Documents Without Diagnoses

Measure Description

Among institutional claim or bill headers or professional claim or bill service line items, the percentage with no diagnosis codes

Metadata

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

Denominator Description

Institutional claim or bill headers or professional claim or bill service line items.

Numerator Description

One per denominator observation without an ICD-10-CM diagnosis in the first position.

Published Fields

• Data Model Keys

  • Patient ID
  • Payor ID
  • Document ID
  • Source ID
  • Diagnosis Record Document ID

• Date Fields

  • Claim Covered Start 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)

• Denominator Fields

  • Document Type Description

• Measure Fields

  • Denominator
  • Numerator