URSA-PHF-041: Post-Op 180 Day Episode Plan Spending
  • 27 Apr 2023
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URSA-PHF-041: Post-Op 180 Day Episode Plan Spending

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Article summary

Measure Description

Among surgery encounters, the total plan paid amount across a 180-day episode starting on the surgery encounter end date.

Metadata

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

Denominator Description

One record per 180-day period starting on the surgery encounter end date; restricted to patient-periods with active plan membership.

Numerator Description

The total claim plan paid amount within 180 days; including the day of the surgery encounter end date.

None.

FAQs

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