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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 | CLT |
Measure ID | RULE-7663 |
Measure Type | Claims Percentage |
Content area | MCR |
Validation Type | Inferential |
---|
Measure Priority | High |
---|---|
Focus Area | Managed care |
Category | Expenditures |
Claim Type | Medicaid,Enc or CHIP,Enc |
---|---|
Adjustment Type | Original and Replacement |
Crossover Type | Non-Crossover |
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 | TOT-MEDICARE-DEDUCTIBLE-AMT • TOT-MEDICARE-COINS-AMT • MEDICARE-PAID-AMT |
---|---|
DD Data Element Number | CLT067 • CLT068 • CLT179 |
Annotation | N/A |
---|---|
Specification | RULE-7663 |