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Measure Name | % of claim headers with an MSIS ID not enrolled on Admission Date |
---|---|
File Type | Multiple Files |
Measure ID | RULE-7642 |
Measure Type | Claims percentage |
Content area | ELG MCR MULTI |
Validation Type | Inferential |
---|
Measure Priority | High |
---|---|
Focus Area | Managed care |
Category | File integrity |
Claim Type | Medicaid,Enc or CHIP,Enc |
---|---|
Adjustment Type | Non-void |
Crossover Type | All Indicators |
Minimum | 0 |
---|---|
Maximum | 0.02 |
TA Minimun | 0 |
TA Maximum | 0.02 |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
TA- Inferential |
For TA
(Longitudinal) |
No |
DD Data Element | MSIS-IDENTIFICATION-NUM • ADMISSION-DATE • MSIS-IDENTIFICATION-NUM • ENROLLMENT-EFF-DATE • ENROLLMENT-END-DATE |
---|---|
DD Data Element Number | CIP022 • CIP094 • ELG251 • ELG253 • ELG254 |
Annotation | N/A |
---|---|
Specification | RULE-7642 |