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CMS clarifies validation of quality data

Quality Improvement Monitor, June 1, 2007

CMS has clarified the criteria that quality improvement organizations (QIO) should use for admission and discharge dates when validating quality data for the Medicare annual payment update, according to a story on the American Hospital Association (AHA) Web site.

Records with an admission date more than one day before or three days after the hospital-submitted date, or a discharge date more than one day before or one day after the hospital-submitted date should be considered invalid, the AHA story said. The criteria apply to data for third-quarter 2006 and beyond, and are retroactive to first-quarter and second-quarter 2006 discharges, the AHA reported.

"We are glad CMS has been sensibly flexible in refining these criteria," Nancy Foster, AHA vice president for quality and patient safety policy, said in the article.

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