URSA-CORE-913: Office Visit Services Not Matched to Office Visit

Measure Description

Among medical billing or claims service line items with a place of service or HCPCS code indicating a clinician office visit, the percentage of those documents that are not associated with a clinician office visit encounter.

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 service line items with a place of service code indicating an office setting (POS = 11) or a HCPCS code for outpatient evaluation and management.

Numerator Description

Denominator observations not matched to a clinician office visit encounter