URSA-CORE-947: Documents with Non-Standard NPIs

Measure Description

Among documents with an NPI, the percentage with a non-standard NPI; non-standard NPIs are those that don't appear in the URSA-CORE NPI reference object.

Metadata

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

Denominator Description

One per document with a non-missing NPI code

Numerator Description

One per qualifying denominator observation with a non-standard NPI; non-standard NPIs are those that don't appear in the URSA-CORE NPI reference object.

Published Fields

• Data Model Keys

  • Document ID
  • Parent Document ID
  • Patient ID
  • Plan ID
  • Payor ID
  • Source ID

• Date Fields

  • Document Effective 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)

• Provider Fields

  • Service Provider Provider NPI
  • Attending Provider Provider NPI
  • Billing Provider Provider NPI
  • Dispensing Provider Provider NPI
  • Facility Provider Provider NPI
  • Ordering Provider Provider NPI
  • Provider Group Provider NPI

• Diagnosis Fields

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

• Denominator Fields

  • Is Document with at least one Non-Standard NPI

• Metadata Fields

  • Document Type Description

• Validation Only Fields

  • Is Service Provider NPI Missing from NPPES Reference Data
  • Is Attending Provider NPI Missing from NPPES Reference Data
  • Is Billing Provider NPI Missing from NPPES Reference Data
  • Is Dispensing Provider NPI Missing from NPPES Reference Data
  • Is Facility Provider NPI Missing from NPPES Reference Data
  • Is Ordering Provider NPI Missing from NPPES Reference Data
  • Is Provider Group NPI Missing from NPPES Reference Data

• Measure Fields

  • Denominator
  • Numerator