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Measure Name | % of MSIS IDs with alien restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) with non-emergency room services |
---|---|
File Type | Multiple Files |
Measure ID | ALL-13-003-3 |
Measure Type | Claims Percentage |
Content area | ALL |
Validation Type | Inferential |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | Medicaid,FFS or Medicaid,Enc |
---|---|
Adjustment Type | Original |
Crossover Type | All Indicators |
Minimum | 0 |
---|---|
Maximum | 0.15 |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | RESTRICTED-BENEFITS-CODE • ADMISSION-DATE • ELIGIBILITY-DETERMINANT-END-DATE • MSIS-IDENTIFICATION-NUM • REVENUE-CODE • MSIS-IDENTIFICATION-NUM • ELIGIBILITY-DETERMINANT-EFF-DATE |
---|---|
DD Data Element Number | ELG097 • CIP094 • ELG100 • ELG251 • CIP245 • CIP022 • ELG099 |
Annotation | N/A |
---|---|
Specification | N/A |