tuva-health · andreas-homeward · Mar 14, 2026 · Mar 17, 2026 · Mar 18, 2026 · Mar 19, 2026
diff --git a/models/claims_preprocessing/encounters/encounter_models.yml b/models/claims_preprocessing/encounters/encounter_models.yml
@@ -4477,7 +4477,16 @@ models:
       tags:
         - claims_preprocessing
         - encounters
-
+    columns:
+      - name: end_date
+        description: The discharge date or end date of the claim if discharge date is null.
+        tests:
+          - not_null:
+              description: >
+                If this is null, the end date will default to the start date for encounters to ensure the encounter is not open-ended and 
+                prevents grouping encounters far into the future.
+              config:
+                severity: warn
   - name: encounters__prof_and_lower_priority
     description: adding in lower priority institutional claims in one location with professional for grouping to higher level encounters
     config:

diff --git a/...essing/encounters/intermediate/acute_inpatient/acute_inpatient__generate_encounter_id.sql b/...essing/encounters/intermediate/acute_inpatient/acute_inpatient__generate_encounter_id.sql
@@ -18,7 +18,7 @@ select claim_id
       enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...ntermediate/emergency_department/emergency_department__generate_encounter_id_pre_sort.sql b/...ntermediate/emergency_department/emergency_department__generate_encounter_id_pre_sort.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
       enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
     , enc.claim_type  -- 'institutional' | 'professional'

diff --git a/...ng/encounters/intermediate/inpatient_hospice/inpatient_hospice__generate_encounter_id.sql b/...ng/encounters/intermediate/inpatient_hospice/inpatient_hospice__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...ncounters/intermediate/inpatient_long_term/inpatient_long_term__generate_encounter_id.sql b/...ncounters/intermediate/inpatient_long_term/inpatient_long_term__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...essing/encounters/intermediate/inpatient_psych/inpatient_psych__generate_encounter_id.sql b/...essing/encounters/intermediate/inpatient_psych/inpatient_psych__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...essing/encounters/intermediate/inpatient_rehab/inpatient_rehab__generate_encounter_id.sql b/...essing/encounters/intermediate/inpatient_rehab/inpatient_rehab__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...processing/encounters/intermediate/inpatient_snf/inpatient_snf__generate_encounter_id.sql b/...processing/encounters/intermediate/inpatient_snf/inpatient_snf__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc

diff --git a/...s/intermediate/inpatient_substance_use/inpatient_substance_use__generate_encounter_id.sql b/...s/intermediate/inpatient_substance_use/inpatient_substance_use__generate_encounter_id.sql
@@ -18,7 +18,7 @@ with claim_start_end as (
     enc.claim_id
     , enc.patient_data_source_id
     , c.start_date
-    , c.end_date
+    , coalesce(c.end_date, c.start_date) as end_date -- Avoids large length of stay gaps being combined
     , enc.facility_npi
     , enc.discharge_disposition_code
   from {{ ref('encounters__stg_medical_claim') }} as enc