URSA-HCC-R02: Qualifying CMS-HCC Diagnoses
- 28 Jun 2025
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URSA-HCC-R02: Qualifying CMS-HCC Diagnoses
- Updated on 28 Jun 2025
- 1 Minute to read
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Measure Description
Registry of distinct qualifying CMS-HCC ICD-10-CM diagnosis codes. Each record is a distinct patient-code-date triple; that is, multiple instances of the same diagnosis code documented on the same day for the same patient are captured as a single record in the registry.
Metadata
- Measure Type: Registry
- Temporal Structure: Event
- Component Class: Normal-Form
- Denominator Case Field: Patient ID, Diagnosis Effective Date, Diagnosis ICD-10-CM Code
- Target Direction: None
Published Fields
Data Model Keys
- Patient ID
- Primary Diagnosis Document ID
- Primary Encounter ID
- Primary Encounter Facility Provider ID
- Primary Encounter Attending Provider ID
- Primary Encounter Service Provider ID
- Primary Encounter Provider Group ID
Date Fields
- Diagnosis 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)
Diagnosis Fields
- Diagnosis ICD-10-CM Code
- Diagnosis ICD-10-CM Description
Module Fields
- Is CMS MAO-004 Diagnosis
Encounter Fields
- Is Diagnoses within URSA-CORE Encounter
- Ursa Encounter Type Tier 1 Category
- Ursa Encounter Type Tier 2 Category
- Is Clinician Office Visit Encounter
- Is Primary Care Clinician Office Visit
Provider Fields
- Primary Encounter Facility Provider Description
- Primary Encounter Facility Provider Taxonomy Description
- Primary Encounter Attending Provider Description
- Primary Encounter Service Provider Description
- Primary Encounter Service Provider Taxonomy Description
- Primary Encounter Provider Group Description
Metadata Fields
- Is Claim Diagnosis
- Is Bill Diagnosis
- Is Acceptable Diagnosis Document Type
Measure Fields
- Denominator
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