Measure Description
Among institutional claim or bill service line item records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, either of Claim Covered Start Date or Service Start Date, and CMS Revenue Center Code.
Metadata
- Measure Identifier: URSA-CORE-935
- 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 service line item record.
Numerator Description
One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, either of Claim Covered Start Date or Service Start Date, and CMS Revenue Center Code.
Published Fields
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Data Model Keys
- Document ID -- The internal database identifier (used, e.g., for joins and primary keys) for the document. (See also [URSA-CORE] Document)
- Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
- Institutional Claim Service Line Item ID -- The identifier for a service line item on an institutional or professional claim.
- Institutional Bill Service Line Item ID -- The identifier for a service line item on an institutional or professional bill.
- Plan ID -- The identifier for a particular health insurance plan product offered by a payor.
- Payor ID -- The identifier for the health insurance organization associated with the current record.
- Source ID -- The identifier for the original source data system from which the current record originated.
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Date Fields
- Service Start Date -- The first calendar date a service was delivered.
- Header 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)
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Clinical Services Fields
- CMS Revenue Center Code -- The standard CMS 4-digit Revenue Center code; e.g., 0001 = Total charge, etc. CMS Revenue Center codes should include leading zeros.
- CMS Revenue Center Description -- The natural language description of a CMS Revenue Center code (See also [URSA-CORE] CMS Revenue Center Code)
- HCPCS Code -- The Healthcare Common Procedure Coding System (HCPCS) code associated with a service. Includes both HCPCS Level I codes (commonly called CPT codes) and Level II codes (which includes products, supplies, and services not included in CPT). Level II codes consist of a letter followed by four numeric digits. Current Dental Terminology codes are included in the Level II codes as HCDT. (See also [URSA-CORE] HCPCS Description)
- HCPCS Description -- The natural language description of a HCPCS code. (See also [URSA-CORE] HCPCS Code)
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Numerator Fields
- Is Patient ID NULL
- Is Header Covered Start Date and Service Start Date NULL
- Is CMS Revenue Center Code NULL
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Metadata Fields
- Document Type Description
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Measure Fields
- Denominator