MIS-22-003-3

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Measure Name	% missing: BEGINNING-DATE-OF-SERVICE (CIP00003)
File Type	CIP
Measure ID	MIS-22-003-3
Measure Type	Claims Percentage
Content area	MIS

Validation Type	Inferential

Measure Priority	N/A
Focus Area	N/A
Category	N/A

Claim Type	Medicaid,FFS or CHIP,FFS
Adjustment Type	Original and Replacement
Crossover Type	All Indicators

Minimum	0
Maximum	0.02
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

DD Data Element	BEGINNING-DATE-OF-SERVICE
DD Data Element Number	CIP243

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Priority	Critical	N/A
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Category	File integrity	N/A
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	For ta comprehensive	TA- Inferential	No
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	For ta inferential	Yes	No
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Ta min	0
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Ta max	0.02
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Annotation	Numeric	N/A
11/15/2023	3.16.0	MIS-22-003-3	UPDATE	Specification	STEP 1: Active non-duplicate IP claims during DQ report monthDefine the IP claims universe at the header level by importing both headers and lines that satisfy the following criteria:For Headers:1. Reporting Period from the filename = DQ report month2. CLAIM-STATUS-CATEGORY is not equal to "F2" or is missing3. CLAIM-DENIED-INDICATOR is not equal to "0" or is missing4. TYPE-OF-CLAIM is not equal to "Z" or is missing5. CLAIM-STATUS is not equal to ("26","026","87","087","542","585", "654") or is missing6. No Header Duplicates: Duplicates are dropped at the header level, if the following four data elements are the same: ICN-ORIG, ICN-ADJ, ADJUDICATION-DATE, and ADJUSTMENT-IND.For Lines:1. Reporting Period from the filename = DQ report month2. CLAIM-LINE-STATUS is not equal to ("26","026","87","087","542","585","654") or is missing3. No Line Duplicates: Duplicates are dropped at the line level if the following data elements are the same: ICN-ORIG, ICN-ADJ, ADJUDICATION-DATE, LINE-NUM-ORIG, LINE-NUM-ADJ, and LINE-ADJSTMT-IND.4. Lines merge to a header using ICN-ORIG, ICN-ADJ, ADJUDICATION-DATE, and ADJUSTMENT-IND=LINE-ADJSTMT-IND.STEP 2: Medicaid and S-CHIP FFS: Original and Replacement, Paid ClaimsOf the claims that meet the criteria from STEP 1, further restrict them by the following criteria:1. TYPE-OF-CLAIM = "1" or "A"2. ADJUSTMENT-IND = "0" or "4"STEP 3: Missing data elementOf the claims that meet the criteria from STEP 2, select those whereFor alphanumeric data elements:1. [DATA-ELEMENT-NAME] does not contain any alpha character (A-Z or a-z) OR any digit 1-9For numeric data elements: 1. [DATA-ELEMENT-NAME] does not contain any digit 1-9STEP 4: Calculate percentageDivide the count of claim lines from STEP 3 by the count of claim lines from STEP 2	N/A

MIS-22-003-3

Key Information

Validation

Measure Priority

Claim Information

Thresholds

Data Elements