Measure Description
Among institutional claim or bill header records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Billing Provider ID, Claim Covered Start Date, and Type of Bill Code.
Metadata
- Measure Identifier: URSA-CORE-934
- Measure Type: Rate Measure
- Temporal Structure: Event
- Component Class: Normal-Form
- Denominator Case Field: Document ID
- Target Direction: Down
Denominator Description
One per institutional claim or bill header record.
Numerator Description
One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, Billing Provider ID, Claim Covered Start Date, and Type of Bill Code.
Published Fields
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Data Model Keys
- Document ID -- The internal database identifier (used, e.g., for joins and primary keys) for the document. (See also [URSA-CORE] Document)
- Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
- Institutional Claim ID -- The internal database identifier (used, e.g., for joins and primary keys) for the claim. (See also [URSA-CORE] Claim)
- Institutional Bill ID -- The identifier for a professional or institutional bill header record; Bill ID values are consistent over the lifetime of a bill, including when a bill is adjusted. On a claim record, this field refers to the bill sent to the plan that originated the claim record.
- Billing Provider ID -- The internal database identifier (used, e.g., for joins and primary keys) for the billing provider. (See also [URSA-CORE] Billing Provider)
- Plan ID -- The identifier for a particular health insurance plan product offered by a payor.
- Payor ID -- The identifier for the health insurance organization associated with the current record.
- Source ID -- The identifier for the original source data system from which the current record originated.
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Date Fields
- Covered Start Date
- 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)
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Billing and Claims Fields
- CMS Type of Bill Code -- The standard CMS 3-digit Type of Bill (TOB) Code; 111 = Hospital Inpatient Admit Through Discharge, etc.
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Numerator Fields
- Is Patient ID NULL
- Is Billing Provider ID NULL
- Is Claim Covered Start Date NULL
- Is CMS Type of Bill Code NULL
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Metadata Fields
- Document Type Description
-
Measure Fields
- Denominator