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Measure Name | # of providers by Provider Classification Type |
---|---|
File Type | PRV |
Measure ID | PRV-4-001-1 |
Measure Type | Frequency |
Content area | PRO |
Validation Type | Frequency |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | N/A |
---|---|
Maximum | N/A |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | PROV-CLASSIFICATION-TYPE |
---|---|
DD Data Element Number | PRV088 |
Annotation | For the data element, provider classification type code, run the frequency of unique state submitting provider IDs for each valid value, any valid value, and any invalid value, including missing |
---|---|
Specification |
STEP 1: Provider enrolled on the last day of DQ report month Define the provider population from segment PROV-MEDICAID-ENROLLMENT-PRV00007 by keeping active records that satisfy the following criteria: 1. PROV-MEDICAID-EFF-DATE <= last day of the reporting month 2. PROV-MEDICAID-END-DATE >= last day of the reporting month OR missing 3. SUBMITTING-STATE-PROV-ID is not missing STEP 2: Provider taxonomy on the last day of DQ report month Of the providers that meet the criteria from STEP 1, further refine the population using segment PROV-TAXONOMY-CLASSIFICATION-PRV00006 by keeping records that satisfy the following criteria: 1a. PROV-TAXONOMY-CLASSIFICATION-EFF-DATE <= last day of the reporting month 2a. PROV-TAXONOMY-CLASSIFICATION-END-DATE >= last day of the reporting month OR missing OR 1b. PROV-TAXONOMY-CLASSIFICATION-EFF-DATE is missing 2b. PROV-TAXONOMY-CLASSIFICATION-END-DATE is missing STEP 3: Frequency Count the number of unique SUBMITTING-STATE-PROV-IDs from STEP 2 for: 1. (1,2,3,4) Each valid value: PROV-CLASSIFICATION-TYPE = ("1", "2", "3", "4", respectively) 2. (A) Any valid value: PROV-CLASSIFICATION-TYPE = ("1" or "2" or "3" or "4") 3. (N) No valid value: PROV-CLASSIFICATION-TYPE (NOT ("1" or "2" or "3" or "4") or missing 4. (T) total: PROV-CLASSIFICATION-TYPE = (any missing or non-missing value) |