Clinigence creates measures per the specifications of the authoritative source.  When the specification indicates that the code lists are all inclusive customers must use those codes in order to meet the measure specifications.  However, many times the measure authority does not provide an all inclusive code list.  If a practice or organization is using codes lists or other indicators not included in the measure specification there are two potential paths to accommodate this.


1a) Custom Mapping - If the practice is using a code which does NOT appear in the code list to mean the same thing as one in the measure specification Clinigence will add that mapping with two caveats.  

  • The customer must complete and sign the attached waiver which frees Clinigence of responsibility in the case of an audit or any other formal action.
  • The mapping will not be used by our crowd sourcing engine.  We are stating this for the sake of full transparency but this exclusion will not adversely effect the measure scores.
1b) Custom Mapping -  If the practice is using a code that IS in the code list in the measure specification but wishes it NOT to count towards the measure criteria, Clinigence will remove that mapping with two caveats.  

  • The customer must complete and sign the attached waiver which frees Clinigence of responsibility in the case of an audit or any other formal action.
  • The mapping will not be used by our crowd sourcing engine.  We are stating this for the sake of full transparency but this exclusion will not adversely effect the measure scores.


2) Custom Scrubber - If the practice uses multiple distinct clinical values to map to a code in the measure specification a custom scrubber is usually required.  Clinigence will write and implement the scrubber with three caveats.  

  • The customer must complete and sign the attached waiver which frees Clinigence of responsibility in the case of an audit or any other formal action.
  • The custom scrubber results will not be used by our crowd sourcing engine.  We are stating this for the sake of full transparency but this exclusion will not adversely effect the measure scores.
  • Clinigence will charge a development and on-going maintenance fee for the scrubber.  Once the scrubber specifications have been defined Clinigence will provide a quote for approval.