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Measure Name | % of claim headers with a Procedure Code indicating a dental claim and non-missing Diagnosis Code Flag 1 that have a missing Diagnosis Code 1 |
---|---|
File Type | COT |
Measure ID | RULE-7564 |
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,Enc or CHIP,FFS or CHIP,Enc |
---|---|
Adjustment Type | Original and Replacement |
Crossover Type | All Indicators |
Minimum | 0 |
---|---|
Maximum | 0.001 |
TA Minimun | 0 |
TA Maximum | 0.001 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | TYPE-OF-CLAIM • PROCEDURE-CODE • DIAGNOSIS-CODE-FLAG-1 • DIAGNOSIS-CODE-1 |
---|---|
DD Data Element Number | COT037 • COT169 • COT028 • COT027 |
Annotation | N/A |
---|---|
Specification | RULE-7564 |