Back to top
Top
U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

["Patient Characteristic, Payer": "Medicare FFS payer"]

Performance/Reporting Period
2024
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to identify concepts for Medicare Fee-For-Service payer types.
Data Element Scope: This value set may use a model element related to Patient Characteristic.
Inclusion Criteria: Includes concepts that identify a patient with Medicare Fee-For-Service as a payer source.
Exclusion Criteria: Excludes concepts that represent non-Medicare Fee-For-Service as a payer source.

Constrained to codes in the Medicare FFS payer value set (2.16.840.1.113762.1.4.1104.10)

QDM Datatype and Definition

"Patient Characteristic, Payer"

Data elements that meet criteria using this datatype should document that the patient has one or more of the payers indicated by the QDM category and its corresponding value set.

Timing:

The relevantPeriod addresses:

  • startTime – the first day of insurance coverage with the referenced payer.
  • stopTime – the last day of insurance coverage with the referenced payer.
Last Updated: Jun 29, 2023