An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7564

Data Quality Measure
Last updated

No Updates

Key Information

Measure Name % of claim headers with a Procedure Code indicating a dental claim and non-missing Diagnosis Code Flag 1 that have a missing Diagnosis Code 1
File Type COT
Measure ID RULE-7564
Measure Type Claims percentage
Content area ALL

Validation

Validation Type Inferential

Measure Priority

Measure Priority Medium
Focus Area N/A
Category Utilization

Claim Information

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

Thresholds

Minimum 0
Maximum 0.001
TA Minimun 0
TA Maximum 0.001
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		TA- Inferential
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-CLAIM • PROCEDURE-CODE • DIAGNOSIS-CODE-FLAG-1 • DIAGNOSIS-CODE-1
DD Data Element Number COT037 • COT169 • COT028 • COT027

Annotation N/A
Specification RULE-7564