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TMSIS Dataguide Medicaid.gov
Version 3.27.0

RULE-7662

Data Quality Measure
Last updated

Key Information

Measure Name % of non-crossover encounter claims where MEDICARE-PAID-AMT, TOT-MEDICARE-COINS-AMT, or TOT-MEDICARE-DEDUCTIBLE-AMT is non-zero
File Type CIP
Measure ID RULE-7662
Measure Type Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area Managed care
Category Expenditures

Claim Information

Claim Type Medicaid,Enc or CHIP,Enc
Adjustment Type Original and Replacement
Crossover Type Non-Crossover

Thresholds

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

Data Elements

DD Data Element TOT-MEDICARE-DEDUCTIBLE-AMT • MEDICARE-PAID-AMT • TOT-MEDICARE-COINS-AMT
DD Data Element Number CIP116 • CIP228 • CIP117

Annotation N/A
Specification RULE-7662