URSA-MSSP-ECQM-BCS: Breast Cancer Screening (CMS125v13)

  • Published on Aug 21, 2025
  • 2 minute(s) read
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Measure Description

Percentage of women 50 to 74 years of age who had a mammogram to screen for breast
cancer in the 27 months prior to the end of the measurement period.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Entity
  • Component Class: Long-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Up

Denominator Description

Patients 50-74 years of age who were recommended for routine breast cancer screening.

Numerator Description

Qualifying denominator patients with one or more mammograms in the 27 months prior to the snapshot date.

Published Fields

  • Data Model Keys

    • Patient ID
    • Affiliated Program Entity ID
    • Affiliated Program Entity Provider ID
    • Primary Payor ID
    • Primary Plan ID
    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Individual Provider ID
    • Primary Plan Attributee Provider Group Provider ID
    • Primary Plan Attributee Provider Contract ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID

  • Patient Fields

    • Is Patient Alive
    • Patient Age Integer
    • Patient Date of Birth
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category
    • UW HIP ADI Decile Category
    • Is Patient Sex Female
    • Is Patient Sex Male

  • Date Fields

    • 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)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Insurance Fields

    • Member MBI
    • Is Any Current Plan Membership
    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Denominator Fields

    • Is Denominator Event Criterion Met
    • Is Required Exclusion for Patient Death Prior to Measurement Year
    • Is Required Exclusion for Bilateral Mastectomy
    • Is Required Exclusion for Right and Left Unilateral Mastectomy
    • Is Any Required Exclusion
    • Is Eligible Population
    • Is Required Exclusion for Hospice Services
    • Is Required Exclusion for Age 66+ with Advanced Illness and Frailty
    • Is Required Exclusion for Palliative Care
    • Is Required Exclusion for 66+ and Living Long Term in a Nursing Home
    • Second Qualifying Denominator Visit Date

  • Numerator Fields

    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Component Contribution Using Standard End-of-Year Timing
    • Numerator Document ID
    • Numerator Document Effective Date

  • Measure Fields

    • Denominator
    • Numerator

  • [No Field Group]