CIP.002.133

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TMSIS Dataguide

Medicaid.gov

Version 3.28.0

MEDICARE-REIM-TYPE

Data Element

DE Number

CIP133

System DE Number

CIP.002.133

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to indicate the type of Medicare reimbursement.
Size	X(2)
FLF Start Position	638
FLF Stop Position	639
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Medicare Reimbursement Type List (VVL) 2. Value is mandatory and must be provided, when Crossover Indicator is equal to '1' (Crossover Claim) 3. Value must be 2 characters 4. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-570	If the medicare reim type is populated on a non-denied claim from an IP file, then the medicare reim type reported must be found in the list of valid values.
RULE-6138	If a claim is a non-denied claim from an IP file, then the Medicare reimbursement type value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name
MIS-2-034-34	% missing: MEDICARE-REIM-TYPE (CIP00002)
MIS-21-036-36	% missing: MEDICARE-REIM-TYPE (CIP00002)
MIS-79-036-36	% missing: MEDICARE-REIM-TYPE (CIP00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT083	CLT.002.083	MEDICARE-REIM-TYPE	CLT00002	CLAIM-HEADER-RECORD-LT
COT069	COT.002.069	MEDICARE-REIM-TYPE	COT00002	CLAIM-HEADER-RECORD-OT
CRX059	CRX.002.059	MEDICARE-REIM-TYPE	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After