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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

RULE-7781

Data Quality Measure
Last updated

Key Information

Measure Name % of non-crossover claims where MEDICARE-PAID-AMT, TOT-MEDICARE-COINS-AMT, or TOT-MEDICARE-DEDUCTIBLE-AMT is non-zero
File Type CRX
Measure ID RULE-7781
Measure Type Claims Percentage
Content area FFS

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category Expenditures

Claim Information

Claim Type Medicaid,FFS or CHIP,FFS
Adjustment Type Original and Replacement
Crossover Type Non-Crossover

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 TOT-MEDICARE-DEDUCTIBLE-AMT • MEDICARE-PAID-AMT • TOT-MEDICARE-COINS-AMT
DD Data Element Number CRX043 • CRX129 • CRX044

Annotation N/A
Specification RULE-7781