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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-369

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim headers with invalid Diagnosis Code 5
File Type CIP
Measure ID RULE-369
Measure Type Claims percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority Medium
Focus Area N/A
Category Utilization

Claim Information

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 All Adjustment Types
Crossover Type All Indicators

Thresholds

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

Data Elements

DD Data Element DIAGNOSIS-CODE-5
DD Data Element Number CIP044

Annotation N/A
Specification RULE-369