URSA-CORE-910: Hospital Inpatient Services Without Admission

Measure Description

Among medical billing or claims service line items with a place of service or HCPCS code indicating an inpatient hospital setting, the percentage of those documents that are not associated with a hospital inpatient admission encounter. A positive result suggests missing data needed to identify a hospital inpatient admission on that date.

Metadata

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

Denominator Description

Institutional and professional billing or claims service line items with a place of service code indicating an inpatient hospital setting (POS = 21) or a HCPCS code for hospital inpatient evaluation and management.

Numerator Description

Denominator observations not matched to a corresponding hospital inpatient admission encounter