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Measure Name | % of crossover claim headers where Total Medicare Deductible Amount and Total Medicare Coinsurance Amount do not sum to Total Medicaid Paid Amount |
---|---|
File Type | CRX |
Measure ID | FFS-46-001-1 |
Measure Type | Claims percentage |
Content area | FFS |
Validation Type | Inferential |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | Medicaid,FFS |
---|---|
Adjustment Type | All Adjustment Types |
Crossover Type | Crossover |
Minimum | 0 |
---|---|
Maximum | 0.05 |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | TOT-MEDICAID-PAID-AMT • TOT-MEDICARE-COINS-AMT • TOT-MEDICARE-DEDUCTIBLE-AMT |
---|---|
DD Data Element Number | CRX041 • CRX044 • CRX043 |
Annotation | N/A |
---|---|
Specification | N/A |