URSA-CORE-932: Excess Principal Diagnoses

Measure Description

Among institutional claim or bill headers and professional claim or bill service line items, the percentage with 2 or more principal diagnoses.

Metadata

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

Denominator Description

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

Numerator Description

One per denominator observation with 2 or more principal diagnoses.

Published Fields

• Data Model Keys

  • Document ID
  • Claim ID
  • Professional Claim Service Line Item ID
  • Bill ID
  • Professional Bill Service Line Item ID
  • Service Line Number
  • Diagnosis Line Number
  • Plan ID
  • Payor ID
  • Source ID

• Date Fields

  • 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)

• Diagnosis Fields

  • ICD-10-CM Code
  • ICD-10-CM Description

• Metadata Fields

  • Document Type Description

• Measure Fields

  • Count Principal Diagnoses
  • Denominator