FFS-11-024-2

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Version 3.38.0

FFS-11-024-2

Data Quality Measure

Last updated

Key Information

Measure Name	% of claim headers with SERVICE-QUANTITY-ACTUAL = 1
File Type	COT
Measure ID	FFS-11-024-2
Measure Type	Claims Percentage
Content area	FFS

Validation

Validation Type	Longitudinal and Inferential

Measure Priority

Measure Priority	Medium
Focus Area	N/A
Category	Utilization

Claim Information

Claim Type	CHIP,FFS
Adjustment Type	Original
Crossover Type	Non-Crossover

Thresholds

Minimum	0.4
Maximum	0.9
TA Minimun	0.4
TA Maximum	0.99
Longitudinal Threshold	0.15
For TA (for including in compliance training)	TA- Inferential
For TA (Longitudinal)	No

Data Elements

DD Data Element	SERVICE-QUANTITY-ACTUAL
DD Data Element Number	COT183

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	Priority	N/A	Medium
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	Category	N/A	Utilization
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	For ta comprehensive	No	TA- Inferential
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	For ta inferential	No	Yes
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	Ta min		0.4
02/26/2025	3.34.0	FFS-11-024-2	UPDATE	Ta max		0.99
11/15/2023	3.16.0	FFS-11-024-2	UPDATE	Measure name	% of claim headers with OT-RX-CLAIM-QUANTITY-ACTUAL = 1	% of claim headers with SERVICE-QUANTITY-ACTUAL = 1