Which term is defined as the data from Medicare Fee-for-Service for quality measures?

• A. Home Health CAHPS
• B. PDGM
• C. Medicare FFS Claims Data
• D. Quality Measure Exclusions

Answer: (C)

Medicare FFS Claims Data is the data CMS uses to calculate quality measures for traditional Medicare beneficiaries. This data comes from the claims submitted for services provided to fee-for-service enrollees and includes information like diagnoses, procedures, dates of service, and provider details. It provides objective utilization and coding data that CMS uses to rate performance on various measures.

Home Health CAHPS is a patient experience survey, not a claims data source. PDGM is a payment model, not a data source for quality measures. Quality Measure Exclusions are rules for excluding certain cases from a measure, not the data source itself.