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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-7564 *DEPRECATED*

Data Quality Measure
Last updated

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 N/A
Focus Area N/A
Category N/A

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

Data Elements

DD Data Element PROCEDURE-CODE • TYPE-OF-CLAIM
DD Data Element Number COT169 • COT037

Annotation N/A
Specification N/A