FFS-11-022-17

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Version 3.27.0

FFS-11-022-17

Data Quality Measure

Last updated

Key Information

Measure Name	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)
File Type	COT
Measure ID	FFS-11-022-17
Measure Type	Claims Percentage
Content area	FFS

Validation

Validation Type	Longitudinal and Inferential

Measure Priority

Measure Priority	N/A
Focus Area	N/A
Category	N/A

Claim Information

Claim Type	CHIP,FFS
Adjustment Type	Original
Crossover Type	Non-Crossover

Thresholds

Minimum	0
Maximum	0.5
TA Minimun
TA Maximum
Longitudinal Threshold	0.15
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

Data Elements

DD Data Element	TYPE-OF-SERVICE • PROCEDURE-CODE-FLAG
DD Data Element Number	COT186 • COT171

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/15/2023	3.16.0	FFS-11-022-17	UPDATE	Measure name	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCDURE-CODE = 10 - 87)	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)