RULE-357

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Version:

RULE-357 DEPRECATED

Data Quality Measure

Last updated

Key Information

Measure Name	% of claim headers with invalid Diagnosis Code 3
File Type	CIP
Measure ID	RULE-357
Measure Type	Claims percentage
Content area	ALL

Validation

Validation Type	Inferential

Measure Priority

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

Claim Information

Claim Type	Medicaid,FFS or Medicaid,Cap or Medicaid,Enc or Medicaid,Serv or Medicaid,Supp or CHIP,FFS or CHIP,Cap or CHIP,Enc or CHIP,Serv or CHIP,Supp
Adjustment Type	All Adjustment Types
Crossover Type	All Indicators

Thresholds

Minimum	0
Maximum	0.01
TA Minimun
TA Maximum
Longitudinal Threshold	N/A
For TA (for including in compliance training)	No
For TA (Longitudinal)	No

Data Elements

DD Data Element
DD Data Element Number

Annotation	N/A
Specification	N/A

Published Date	Data Guide Version	DQM	Action	Field	Before	After
05/27/2025	4.0.9	RULE-357	UPDATE	Active	True	False
05/27/2025	4.0.9	RULE-357	UPDATE	Priority	Medium	N/A
05/27/2025	4.0.9	RULE-357	UPDATE	Category	Utilization	N/A
05/27/2025	4.0.9	RULE-357	UPDATE	For ta comprehensive	TA- Inferential	No
05/27/2025	4.0.9	RULE-357	UPDATE	For ta inferential	Yes	No
05/27/2025	4.0.9	RULE-357	UPDATE	Ta min	0
05/27/2025	4.0.9	RULE-357	UPDATE	Ta max	0.01
04/24/2025	4.0.7	RULE-357	ADD	N/A		Created

RULE-357 *DEPRECATED*