EXP-2-010-13
|
Total paid for TYPE-OF-SERVICE = 123 (Disproportionate share hospital (DSH) payments)
|
EXP-5-002-12
|
Total paid for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-5-001-10
|
Total paid for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
EXP-2-019-11
|
Average paid per record for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-2-018-10
|
Average paid per record for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-2-017-9
|
Average paid per record for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-2-016-8
|
Average paid per record for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-2-015-7
|
Average paid per record for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
EXP-2-014-6
|
Average paid per record for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-2-013-5
|
Average paid per record for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-2-012-4
|
Average paid per record for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-2-011-3
|
Average paid per record for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
EXP-5-003-13
|
Total paid for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-2-009-21
|
Total paid for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-2-008-20
|
Total paid for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-2-007-19
|
Total paid for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-2-006-18
|
Total paid for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-2-005-17
|
Total paid for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
EXP-2-004-16
|
Total paid for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-2-003-15
|
Total paid for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-2-002-14
|
Total paid for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-2-001-12
|
Total paid for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
EXP-1-022-13
|
Average paid per record for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-1-021-12
|
Average paid per record for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-5-015-5
|
Average paid per record for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
RULE-7790
|
% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
MCR-59R-001-13
|
% of Plan IDs over the threshold for MCR-59P-001-13 (% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header, by Plan ID)
|
EXP-29R-001-1
|
% of Plan IDs over the threshold for EXP-29P-001-1 (% of claim headers with Total Medicaid Paid Amount = $0 or missing, by Plan ID)
|
MCR-59P-001-13
|
% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header, by Plan ID
|
EXP-29P-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing, by Plan ID
|
MCR-59-001-1
|
% of claim headers where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
FFS-49-001-1
|
% of claim headers where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
EXP-5-019-9
|
Average paid per record for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-5-018-8
|
Average paid per record for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-5-017-7
|
Average paid per record for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-5-016-6
|
Average paid per record for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-1-020-11
|
Average paid per record for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-5-014-4
|
Average paid per record for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-5-013-3
|
Average paid per record for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-5-012-2
|
Average paid per record for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-5-011-1
|
Average paid per record for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
EXP-5-010-11
|
Total paid for TYPE-OF-SERVICE = 123 (Disproportionate share hospital (DSH) payments)
|
EXP-5-009-19
|
Total paid for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-5-008-18
|
Total paid for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-5-007-17
|
Total paid for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-5-006-16
|
Total paid for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-5-005-15
|
Total paid for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
EXP-5-004-14
|
Total paid for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-31-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
MCR-59-001-13
|
% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
FFS-49-005-5
|
% of claim headers that have Total Medicaid Paid Amount greater than a non-zero Total Allowed Amount
|
FFS-49-001-13
|
% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
FFS-43-001-1
|
% of crossover claim headers where Total Medicare Deductible Amount and Total Medicare Coinsurance Amount do not sum to Total Medicaid Paid Amount
|
EXP-S-005-2
|
Sum of Total Medicaid Paid Amount
|
EXP-S-001-1
|
Sum of Total Medicaid Paid Amount
|
EXP-45-001-1
|
% of header claims with Total Medicaid Paid Amount = $0 or missing
|
EXP-44-001-1
|
% of service tracking claim headers with a non-zero Total Medicaid Paid Amount
|
EXP-4-002-2
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-4-001-1
|
% of claim headers with Total Medicaid Paid Amount > $2 million
|
EXP-32-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
MCR-59-005-5
|
% of claim headers that have Total Medicaid Paid Amount greater than a non-zero Total Allowed Amount
|
EXP-3-005-2
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-3-003-4
|
Average Total Medicaid Paid Amount (excludes outliers with Total Medicaid Paid Amount > $2 million)
|
EXP-3-002-3
|
% of claim headers with Total Medicaid Paid Amount > $2 million
|
EXP-3-001-5
|
Sum of Total Medicaid Paid Amount
|
EXP-30-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-29-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-2-020-2
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-2-001-1
|
% of claim headers with Total Medicaid Paid Amount > $2 million
|
EXP-1-024-2
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-1-013-4
|
Average Total Medicaid Paid Amount (excludes outliers with Total Medicaid Paid Amount > $2 million)
|
EXP-1-012-3
|
% of claim headers with Total Medicaid Paid Amount > $2 million
|
EXP-1-006-20
|
Total paid for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
EXP-1-019-10
|
Average paid per record for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-1-018-9
|
Average paid per record for TYPE-OF-SERVICE = 86 (Other Pregnancy-related Procedures)
|
EXP-1-017-8
|
Average paid per record for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-1-016-7
|
Average paid per record for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-1-015-6
|
Average paid per record for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-1-014-5
|
Average paid per record for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
EXP-1-011-16
|
Total paid for TYPE-OF-SERVICE = 123 (Disproportionate share hospital (DSH) payments)
|
EXP-1-010-24
|
Total paid for TYPE-OF-SERVICE = 93 (Non-acute care – hospital residing)
|
EXP-1-009-23
|
Total paid for TYPE-OF-SERVICE = 92 (Exceptional care – hospital residing)
|
EXP-1-008-22
|
Total paid for TYPE-OF-SERVICE = 91 (Skilled care – hospital residing)
|
EXP-1-007-21
|
Total paid for TYPE-OF-SERVICE = 90 (Critical access hospital services – IP)
|
EXP-1-001-14
|
Sum of Total Medicaid Paid Amount
|
EXP-1-005-19
|
Total paid for TYPE-OF-SERVICE = 84 (Sterilizations)
|
EXP-1-004-18
|
Total paid for TYPE-OF-SERVICE = 60 (Emergency hospital services)
|
EXP-1-003-17
|
Total paid for TYPE-OF-SERVICE = 58 (Services furnished in a religious nonmedical health care institution)
|
EXP-1-002-15
|
Total paid for TYPE-OF-SERVICE = 1 (Inpatient hospital services, other than services in an institution for mental diseases)
|
RULE-7565
|
% of denied claim headers where Total Medicaid Paid Amount is non-missing and non-zero
|
RULE-7435
|
% of service tracking claim headers with a non-zero Total Medicaid Paid Amount
|
RULE-7522
|
% of header claims with Total Medicaid Paid Amount = $0 or missing
|
MIS-79-056-56
|
% missing: TOT-MEDICAID-PAID-AMT (CIP00002)
|
MIS-21-056-56
|
% missing: TOT-MEDICAID-PAID-AMT (CIP00002)
|
MIS-2-051-51
|
% missing: TOT-MEDICAID-PAID-AMT (CIP00002)
|