URSA-CORE-938: Professional SLIs with Critical Missing Data

Measure Description

Among professional claim or bill service line item records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Billing Provider ID, Header Covered Start Date, Service Start Date, and HCPCS Code.

Metadata

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

Denominator Description

One per professional 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, Billing Provider ID, Header Covered Start Date, Service Start Date, and HCPCS Code.