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Measure Name | % of claim lines with invalid Reason for Service component of the Drug Utilization Code |
---|---|
File Type | CRX |
Measure ID | RULE-1948 |
Measure Type | Claims Percentage |
Content area | ALL |
Validation Type | Inferential |
---|
Measure Priority | Medium |
---|---|
Focus Area | N/A |
Category | Utilization |
Claim Type | Medicaid,FFS or Medicaid,Cap or Medicaid,Enc or Medicaid,Serv or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Serv or CHIP,Supp |
---|---|
Adjustment Type | Non-void |
Crossover Type | All Indicators |
Minimum | 0 |
---|---|
Maximum | 0.01 |
TA Minimun | 0 |
TA Maximum | 0.01 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | DRUG-UTILIZATION-CODE |
---|---|
DD Data Element Number | CRX143 |
Annotation | N/A |
---|---|
Specification | RULE-1948 |