Skip to content
New issue

Have a question about this project? Sign up for a free GitHub account to open an issue and contact its maintainers and the community.

By clicking “Sign up for GitHub”, you agree to our terms of service and privacy statement. We’ll occasionally send you account related emails.

Already on GitHub? Sign in to your account

CMS144 and CMS135 - Consolitated count getting displayed in Converted Json #919

Closed
Ferozsrs opened this issue Nov 28, 2019 · 7 comments
Closed

Comments

@Ferozsrs
Copy link

Information

Today we validate the CMS135 and 144 with QPP tool, Files are converted to Json successfully but in the Json files, Consolidated data count getting displayed for multiple IPP measures(CMS 144 and CMS135)

Same thing we did for CMS 145(this is also multiple ipp measures), IPP1 and Ipp2 data getting displayed separately in the Json as shown in the below screenshot2.

Expected behavior

Two different data sections should be displayed for Multiple Ipp measures like 135,144. Here is the screenshot attached for your reference which works fine for CMS145

image

Actual behavior

Consolitated data getting displayed for multiple ipp measures

Here is the screenshot attached for your reference which is not works fine for CMs144 and 135

image

Steps to reproduce

  1. Generated the QRDA III for CMS135 and 144 and Validate with QPP tool(locally), Files are converted to Json successfully but in the Json files, Consolidated data count getting displayed for multiple IPP measures(CMS 144 and CMS135)
@bijujoseph
Copy link
Member

Thank you @Ferozsrs for bringing this to our attention. Will respond with updates shortly. cc: @saquino0827 , @omnivion , @KyleApfel

@saquino0827
Copy link
Contributor

@Ferozsrs @bijujoseph
This is expected behavior. There are a few measures that are Multi Performance rates in QRDA-III format, but are Consolidated Single Performance rates in QPP format. Please see the attached documentation here: https://confluence.cms.gov/pages/viewpage.action?spaceKey=QPPPRACTICE&title=QRDA+Conversion+from+Multiple+to+Single+Rate

@Ferozsrs
Copy link
Author

Ferozsrs commented Dec 3, 2019 via email

@saquino0827
Copy link
Contributor

Hi @Ferozsrs ,

Both CMS135 and CMS144 have this behavior. Here is some of the documentation listed here.

CMS135/Measure id 005
For the purposes of this measure, a single performance rate can be calculated as follows:
Performance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]
CMS144/Measure id 008
For the purposes of this measure, a single performance rate can be calculated as follows:
Performance Rate = (Numerator 1 + Numerator 2)/ [(Denominator 1 - Denominator Exceptions 1) + (Denominator 2 - Denominator Exceptions 2)]

@Ferozsrs
Copy link
Author

Ferozsrs commented Dec 4, 2019

Hi Team
Thank you so much for information,
It mean, New performance rate formula only applies to CMS135 and CmS144 only? but not for rest of the CQM measures right? Please Suggest

Just to information, In our CQM Report and QRDAIII file we are publising performance rate in two section, So do you thing we need to published in single performance rate regarding CMS135 and 144. or It is already taking care during conversion.Please Suggest

Thanks in Advance

Regards
Feroz

@saquino0827
Copy link
Contributor

Hi @Ferozsrs ,
The measures that this new performance rate formula applies to are listed below:

  • CMS135/Measure id 005
  • CMS144/Measure id 008
  • CMS157/Measure id 143
  • CMS347/Measure id 438

You do not need to submit under a single performance rate as the conversion tool already handles this during conversion.

@Ferozsrs
Copy link
Author

Ferozsrs commented Dec 5, 2019

Thanks You So much Team for details information and closing tickets

Regards
Feroz

@Ferozsrs Ferozsrs closed this as completed Dec 5, 2019
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment
Labels
None yet
Projects
None yet
Development

No branches or pull requests

3 participants