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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

FFS-22-002-2

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
File Type COT
Measure ID FFS-22-002-2
Measure Type Claims Percentage
Content area MULTI FFS PRO

Validation

Validation Type Longitudinal and Inferential

Measure Priority

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

Claim Information

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

Thresholds

Minimum 0.01
Maximum 0.7
TA Minimun
TA Maximum
Longitudinal Threshold 0.1
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-SERVICE • SERVICING-PROV-NUM • BILLING-PROV-NUM
DD Data Element Number COT186 • COT189 • COT112

Annotation N/A
Specification N/A