URSA-CORE-943: Professional SLIs with Important Missing Data

Measure Description

Among professional claim or bill service line item records, the percentage with at least one unpopulated important but non-critical field; important fields are: Service Provider ID, HCPCS Modifier 1 Code, and CMS Place of Service 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 important but non-critical field; important fields are: Service Provider ID, HCPCS Modifier 1 Code, and CMS Place of Service Code.