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TMSIS Dataguide Medicaid.gov

Version:

3.40.0

RULE-9189

Data Quality Measure
Last updated

Key Information

Measure Name % of claims with a missing diagnosis type on the diagnosis segment
File Type CLT
Measure ID RULE-9189
Measure Type Claims percentage
Content area MIS
Grace Period Expiration 01/02/2027

Validation

Validation Type Inferential

Measure Priority

Measure Priority High
Focus Area N/A
Category File integrity

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 N/A
Crossover Type N/A

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 DIAGNOSIS-TYPE
DD Data Element Number CLT275

Annotation N/A
Specification RULE-9189