URSA-PHF-042: Pre-Op 180 Day Episode Plan Spending
- 27 Apr 2023
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URSA-PHF-042: Pre-Op 180 Day Episode Plan Spending
- Updated on 27 Apr 2023
- 1 Minute to read
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Measure Description
Among surgery encounters, the total plan paid amount 180 days prior to the surgery encounter start 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 prior to surgery encounter start date; restricted to patient-periods with active plan membership.
Numerator Description
The total claim plan paid amount across 180 days leading up to a surgery encounter; including the day of the surgery encounter start date.
Related Key Concepts
None.
FAQs
None.
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