Claims-based measure: A data source used by the Center for Medicare and Medicaid Services (CMS) to determine the quality of care received by Medicare beneficiaries.
Claims-based measure: A data source used by the Center for Medicare and Medicaid Services (CMS) to determine the quality of care received by Medicare beneficiaries.
The quality is determined by studying the Medicare enrollment data as well as the parts A and B patient claims as recorded by hospitals. The claims are measured using different methodologies (Quality Net n.d.).
Registry-based measure: the quality measures data is submitted to the CMS by a qualified registry. The data entails information on care received by Medicare beneficiaries. The Physician Quality Reporting System allows professionals to submit data to a qualified registry to ease the process of data collection (CMS (a) n.d.).
EHR-based measure: A quality measurement and reporting system developed to reduce inaccuracies in data collection as well as save time and costs. The clinical data such as medication adherence vaccination status is entered in real time by physicians through an EHR system and received at the CMS (Kuhn et al. 2010).
Measure Group: A constituent object of study within large data set defined by name of group type of measures and other dimensions. Each of the measures defines the aggregate function the formatting characteristic and source of item data. The dimensions are a subset of the whole measure group that in total forms the measured group (Technet 2012).Tax Identification Number (TIN): A tracking number used by the IRS for tax purposes. For individuals it is given inform of Social Security number while for business; Employer identification number. A TIN is used on returns statements and other tax related documents (SBA n.d.).
CPT code: The Current Procedural Terminology codes are uniformly designed codes used by insurers to determine the amount of reimbursement to give the medical practitioner for services provided to an insured patient. The services to which these codes are attached include medical diagnostic and surgical (Torrey 2011).
ICD-9-CM Diagnosis code: The alpha-numeric codes International Statistical Classification of Disease and Related Health Problems classify diseases signs and symptoms and are therefore applied in diagnostic procedures. The codes as published by the world health organization (WHO) is used worldwide to promote international comparability in the collection classification presentation and processing of medical statistics (American Medical Association 2012).
ICD-9-CM Procedure code: The HIPAA standard codes for inpatient procedures. The procedure codes are used in hospitals to internally track and monitor only services offered to the patient while receiving inpatient care only. The numeric codes are used by the government and health insurance providers for logistical purposes when settling claims. The codes are revised annually with concurrent upgrade of soft wares (Hapner 2011).
HCPCS code: A coding system used by CMS to standardize and ensure claims are processed in an orderly and consistent manner. The code set of Health care Common Procedure Coding System is in two sets named as Level I and level II. Level I code set does not include medical items or services but level II is used to identify products supplies and other products such as ambulance and durable medical products (CMS (b) n.d.).
LOINC code: Universal identifiers for laboratory test results and other clinical observations. It facilitates transmission and storage of lab results for clinical care (McDonald Huff & Suicio 2003).

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