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Measure Name | % of crossover claims where MEDICARE-PAID-AMT, TOT-MEDICARE-COINS-AMT, and TOT-MEDICARE-DEDUCTIBLE-AMT are 0 or missing |
---|---|
File Type | COT |
Measure ID | RULE-7776 |
Measure Type | Claims Percentage |
Content area | FFS |
Validation Type | Inferential |
---|
Measure Priority | High |
---|---|
Focus Area | N/A |
Category | Expenditures |
Claim Type | Medicaid,FFS or CHIP,FFS |
---|---|
Adjustment Type | Original and Replacement |
Crossover Type | Crossover |
Minimum | 0 |
---|---|
Maximum | 0.1 |
TA Minimun | 0 |
TA Maximum | 0.1 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | TOT-MEDICARE-DEDUCTIBLE-AMT • MEDICARE-PAID-AMT • TOT-MEDICARE-COINS-AMT |
---|---|
DD Data Element Number | COT052 • COT182 • COT053 |
Annotation | N/A |
---|---|
Specification | RULE-7776 |