rowType stringclasses 2
values | tafVersionId int64 6 43 | measureId float64 1 124 ⌀ | stateId float64 1 78 ⌀ | col0 stringclasses 57
values | col1 stringclasses 13
values | col2 stringclasses 121
values | col3 stringclasses 11
values | col4 stringclasses 7
values | col5 stringclasses 118
values | col6 stringlengths 1 26 ⌀ | col7 stringclasses 2
values | col8 stringclasses 4
values |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
data | 41 | 122 | 54 | West Virginia | Enrollment Benchmarking | SSI Participation | 2022 | Medium concern | Multiple criteria: Percent difference between TAF and SSI Annual Statistical Report using eligibility group codes, SSI indicator, and SSI status code | See Background and Methods | TAF | Release 1 |
data | 41 | 123 | 54 | West Virginia | Enrollment Benchmarking | 1115 Demonstration Identification | 2022 | Unusable | Multiple criteria: (1) Percentage of expected demonstration numbers present in the T-MSIS Analytic Files (TAF) and (2) the number of demonstration numbers unexpectedly present in TAF | See Background and Methods | TAF | Release 1 |
data | 41 | 10 | 54 | West Virginia | Enrollment Patterns Over Time | Number of Enrollment Spans | 2022 | Medium concern | Multiple criteria: (1) Percentage of Medicaid and CHIP beneficiaries with only one enrollment span during the calendar year and (2) percentage of beneficiaries with three or more enrollment spans during the calendar year in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 11 | 54 | West Virginia | Enrollment Patterns Over Time | Length of Enrollment Gaps | 2022 | Low concern | Multiple criteria: (1) Average length of enrollment gap (in days) for Medicaid and CHIP beneficiaries with an enrollment gap and (2) percentage of beneficiaries with an enrollment gap in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 12 | 54 | West Virginia | Enrollment Patterns Over Time | Overlapping Enrollment Spans | 2022 | Low concern | Percentage of beneficiaries with overlapping Medicaid and S-CHIP enrollment spans in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 13 | 54 | West Virginia | Beneficiary Information | Age | 2022 | Low concern | Percentage of beneficiaries missing age values in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 14 | 54 | West Virginia | Beneficiary Information | Gender | 2022 | Low concern | Percentage of beneficiaries missing gender values in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 16 | 54 | West Virginia | Beneficiary Information | Race and Ethnicity | 2022 | Medium concern | Multiple criteria: (1) Percentage of beneficiaries missing race and/or ethnicity values in the T-MSIS Analytic Files (TAF) and (2) the number of race/ethnicity categories (out of 6) with a percentage point difference greater than 10 between the TAF and American Community Survey (ACS) data | See Background and Methods | TAF | Release 1 |
data | 41 | 17 | 54 | West Virginia | Beneficiary Information | Income | 2022 | Low concern | Percentage of beneficiaries missing family income values in the T-MSIS Analytic Files (TAF) | 2.8 | TAF | Release 1 |
data | 41 | 15 | 54 | West Virginia | Beneficiary Information | ZIP Code | 2022 | Low concern | Percentage of beneficiaries missing ZIP code values in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 20 | 54 | West Virginia | Beneficiary Information | Eligibility Group Code | 2022 | Medium concern | Multiple criteria: (1) Percentage of beneficiaries missing an eligibility group code and (2) the number of large mandatory eligibility groups with no enrollment in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 18 | 54 | West Virginia | Beneficiary Information | Dual Eligibility Code | 2022 | Low concern | Multiple criteria: See Background and Methods | See Background and Methods | TAF | Release 1 |
data | 41 | 19 | 54 | West Virginia | Beneficiary Information | CHIP Code | 2022 | Low concern | Multiple criteria: See Background and Methods | See Background and Methods | TAF | Release 1 |
data | 41 | 21 | 54 | West Virginia | Beneficiary Information | Restricted Benefits Code | 2022 | Low concern | Percentage of Medicaid and CHIP beneficiaries with a known benefit type in the restricted benefits code field in the T-MSIS Analytic Files (TAF) | 100.0 | TAF | Release 1 |
data | 41 | 119 | 54 | West Virginia | Beneficiary Information | Primary Language | 2022 | Low concern | Multiple criteria: (1) Percentage of beneficiaries missing a primary language in the T-MSIS Analytic Files (TAF) and (2) the number of language categories (out of 3) in which TAF differs substantively from the American Community Survey (ACS) | See Background and Methods | TAF | Release 1 |
data | 41 | 120 | 54 | West Virginia | Beneficiary Information | English Language Proficiency | 2022 | Medium concern | Multiple criteria: (1) Percentage of beneficiaries with a non-English primary language that are missing English proficiency in the T-MSIS Analytic Files (TAF) and (2) the percentage of beneficiaries with limited English proficiency in TAF that differs substantively from the American Community Survey (ACS) | See Background and Methods | TAF | Release 1 |
data | 41 | 45 | 54 | West Virginia | Claim Files Completeness | Claims Volume - IP | 2022 | Low concern | Multiple criteria: (1) Total inpatient (IP) header volume as a percentage of the national median, (2) IP line volume as a percentage of the national median, and (3) average number of IP line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 46 | 54 | West Virginia | Claim Files Completeness | Claims Volume - LT | 2022 | Low concern | Average number of long-term care (LT) line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF) | 198.0 | TAF | Release 1 |
data | 41 | 47 | 54 | West Virginia | Claim Files Completeness | Claims Volume - OT | 2022 | Low concern | Multiple criteria: (1) Total other service (OT) header volume as a percentage of the national median, (2) total OT line volume as a percentage of the national median, and (3) average number of OT line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 48 | 54 | West Virginia | Claim Files Completeness | Claims Volume - RX | 2022 | Medium concern | Multiple criteria: (1) Total pharmacy (RX) header volume as a percentage of the national median, (2) total RX line volume as a percentage of the national median, and (3) average number of RX line records per header as a percentage of the national median in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 27 | 54 | West Virginia | Claim Files Completeness | Service Users - IP | 2022 | Low concern | Percentage of non-dually eligible beneficiaries with at least one inpatient (IP) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median | 91.1 | TAF | Release 1 |
data | 41 | 28 | 54 | West Virginia | Claim Files Completeness | Service Users - OT | 2022 | Low concern | Percentage of non-dually eligible beneficiaries with at least one other service (OT) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median | 103.8 | TAF | Release 1 |
data | 41 | 29 | 54 | West Virginia | Claim Files Completeness | Service Users - RX | 2022 | Low concern | Percentage of non-dually eligible beneficiaries with at least one pharmacy (RX) claim record in the T-MSIS Analytic Files (TAF), as a proportion of the national median | 120.6 | TAF | Release 1 |
data | 41 | 121 | 54 | West Virginia | Claim Files Completeness | Availability of CMC Plan Encounter Data | 2022 | Low concern | Multiple criteria: Percentage of CMC plans with no IP or OT encounter header records in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 56 | 54 | West Virginia | Claim Files Completeness | CMC Plan Encounters - IP | 2022 | Medium concern | Multiple criteria: (1) Inpatient (IP) comprehensive managed care (CMC) encounter header record volume as a percentage of the national median, (2) IP CMC encounter line record volume as a percentage of the national median, (3) the average number of IP CMC encounter line records per header as a percentage of the national... | See Background and Methods | TAF | Release 1 |
data | 41 | 57 | 54 | West Virginia | Claim Files Completeness | CMC Plan Encounters - LT | 2022 | Low concern | Multiple criteria: (1) The average number of long-term care (LT) comprehensive managed care (CMC) encounter line records per LT claim header as a percentage of the national median and (2) the number of CMC plans with no LT encounter header records in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 58 | 54 | West Virginia | Claim Files Completeness | CMC Plan Encounters - OT | 2022 | Low concern | Multiple criteria: (1) Other service (OT) comprehensive managed care (CMC) encounter header record volume as a percentage of the national median, (2) volume of OT CMC encounter line records as a percentage of the national median, (3) the average number of OT CMC line records per header as a percentage of the national m... | See Background and Methods | TAF | Release 1 |
data | 41 | 59 | 54 | West Virginia | Claim Files Completeness | CMC Plan Encounters - RX | 2022 | Unclassified | Multiple criteria: (1) The average number of pharmacy (RX) comprehensive managed care (CMC) encounter line records per RX claim header as a percentage of the national median and (2) the number of CMC plans with no RX encounter header records in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 22 | 54 | West Virginia | Claim Files Completeness | Benchmarking Inpatient Stays - IP | 2022 | Unclassified | Percent difference in adult inpatient hospital stays between the T-MSIS Analytic Files (TAF) and the Healthcare Cost and Utilization Project (HCUP) data | Missing benchmark data | TAF | Release 1 |
data | 41 | 77 | 54 | West Virginia | Expenditure Benchmarking | Total Medicaid Expenditures | 2022 | Medium concern | Percent difference in total Medicaid expenditures for medical assistance programs between the T-MSIS Analytic Files (TAF) and the CMS-64 data | 6.9 | TAF | Release 1 |
data | 41 | 87 | 54 | West Virginia | Expenditure Benchmarking | Medicaid Beneficiary Expenditures | 2022 | Low concern | Percent difference in Medicaid beneficiary expenditures between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -4.8 | TAF | Release 1 |
data | 41 | 67 | 54 | West Virginia | Expenditure Benchmarking | Total FFS Expenditures | 2022 | Medium concern | Percent difference in Medicaid fee-for-service (FFS) expenditures between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -5.3 | TAF | Release 1 |
data | 41 | 68 | 54 | West Virginia | Expenditure Benchmarking | FFS Inpatient Expenditures | 2022 | High concern | Percent difference in Medicaid fee-for-service (FFS) expenditures for inpatient hospital services between the T-MSIS Analytic Files (TAF) and the CMS-64 data | 20.2 | TAF | Release 1 |
data | 41 | 69 | 54 | West Virginia | Expenditure Benchmarking | FFS Long-Term Care Expenditures | 2022 | Low concern | Percent difference in Medicaid fee-for-service (FFS) expenditures for institutional long-term care services between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -0.2 | TAF | Release 1 |
data | 41 | 70 | 54 | West Virginia | Expenditure Benchmarking | FFS Other Medical Expenditures | 2022 | Medium concern | Percent difference in Medicaid fee-for-service (FFS) expenditures for all other medical services between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -18.1 | TAF | Release 1 |
data | 41 | 71 | 54 | West Virginia | Expenditure Benchmarking | FFS Prescription Drug Expenditures | 2022 | Low concern | Percent difference in Medicaid fee-for-service (FFS) expenditures for prescription drugs between the T-MSIS Analytic Files (TAF) and the CMS-64 data | 4.2 | TAF | Release 1 |
data | 41 | 72 | 54 | West Virginia | Expenditure Benchmarking | Total Monthly Beneficiary Payments | 2022 | Low concern | Percent difference in total monthly Medicaid beneficiary payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -4.2 | TAF | Release 1 |
data | 41 | 73 | 54 | West Virginia | Expenditure Benchmarking | CMC Payments | 2022 | Medium concern | Percent difference in comprehensive managed care (CMC) capitation payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -6.1 | TAF | Release 1 |
data | 41 | 74 | 54 | West Virginia | Expenditure Benchmarking | PHP Payments | 2022 | Unusable | Percent difference in prepaid health plan (PHP) capitation payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data | 787.9 | TAF | Release 1 |
data | 41 | 75 | 54 | West Virginia | Expenditure Benchmarking | PCCM Fees | 2022 | Unclassified | Percent difference in primary care case management plan (PCCM) fees between the T-MSIS Analytic Files (TAF) and the CMS-64 data | Not applicable | TAF | Release 1 |
data | 41 | 76 | 54 | West Virginia | Expenditure Benchmarking | Premium Assistance Payments | 2022 | Unusable | Percent difference in premium assistance payments between the T-MSIS Analytic Files (TAF) and the CMS-64 data | -100.0 | TAF | Release 1 |
data | 41 | 66 | 54 | West Virginia | Payments | Missing Payment Data - FFS Claims | 2022 | Low concern | Percentage of fee-for-service (FFS) claims with a zero, missing, or negative payment amount in the T-MSIS Analytic Files (TAF) | 0.5 | TAF | Release 1 |
data | 41 | 86 | 54 | West Virginia | Payments | Missing Payment Data - Encounters | 2022 | Low concern | Percentage of managed care (MC) encounters with a zero, missing, or negative payment amount in the T-MSIS Analytic Files (TAF) | 3.6 | TAF | Release 1 |
data | 41 | 101 | 54 | West Virginia | Payments | Bundled Payments for Prenatal Care | 2022 | Low concern | Percent of deliveries with bundled payment code including prenatal care in the T-MSIS Analytic Files (TAF) | 3.9 | TAF | Release 1 |
data | 41 | 81 | 54 | West Virginia | Payments | Payment Data Consistency - IP | 2022 | Low concern | Multiple criteria: (1) Percentage of fee-for-service (FFS) inpatient (IP) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of IP claims with an unknown payment level in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 80 | 54 | West Virginia | Payments | Payment Data Consistency - LT | 2022 | Low concern | Multiple criteria: (1) Percentage of fee-for-service (FFS) long-term care (LT) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of LT claims with an unknown payment level in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 79 | 54 | West Virginia | Payments | Payment Data Consistency - OT | 2022 | Low concern | Multiple criteria: (1) Percentage of fee-for-service (FFS) other service (OT) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of OT claims with an unknown payment level in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 78 | 54 | West Virginia | Payments | Payment Data Consistency - RX | 2022 | Low concern | Multiple criteria: (1) Percentage of fee-for-service (FFS) pharmacy (RX) claims with a header payment equal to the sum of its associated claim line payments and (2) percentage of RX claims with an unknown payment level in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 111 | 54 | West Virginia | Financial Reporting | Category of Service Code - IP | 2022 | Low concern | Percentage of IP lines that have a category of service code consistent with program enrollment | 99.3 | TAF | Release 1 |
data | 41 | 112 | 54 | West Virginia | Financial Reporting | Category of Service Code - LT | 2022 | Low concern | Percentage of LT lines that have a category of service code consistent with program enrollment | 100.0 | TAF | Release 1 |
data | 41 | 113 | 54 | West Virginia | Financial Reporting | Category of Service Code - OT | 2022 | Low concern | Percentage of OT lines that have a category of service code consistent with program enrollment | 96.6 | TAF | Release 1 |
data | 41 | 114 | 54 | West Virginia | Financial Reporting | Category of Service Code - RX | 2022 | Medium concern | Percentage of RX lines that have a category of service code consistent with program enrollment | 89.6 | TAF | Release 1 |
data | 41 | 115 | 54 | West Virginia | Financial Reporting | Federal Reimbursement Category Code - IP | 2022 | Low concern | Percentage of IP lines that have a federal reimbursement category consistent with program enrollment | 99.3 | TAF | Release 1 |
data | 41 | 116 | 54 | West Virginia | Financial Reporting | Federal Reimbursement Category Code - LT | 2022 | Low concern | Percentage of LT lines that have a federal reimbursement category consistent with program enrollment | 100.0 | TAF | Release 1 |
data | 41 | 117 | 54 | West Virginia | Financial Reporting | Federal Reimbursement Category Code - OT | 2022 | Low concern | Percentage of OT lines that have a federal reimbursement category consistent with program enrollment | 97.7 | TAF | Release 1 |
data | 41 | 118 | 54 | West Virginia | Financial Reporting | Federal Reimbursement Category Code - RX | 2022 | Low concern | Percentage of RX lines that have a federal reimbursement category consistent with program enrollment | 99.0 | TAF | Release 1 |
data | 41 | 49 | 54 | West Virginia | Service Use Information | Diagnosis Code - IP | 2022 | Medium concern | Percentage of inpatient (IP) header records with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF) | 89.7 | TAF | Release 1 |
data | 41 | 50 | 54 | West Virginia | Service Use Information | Diagnosis Code - LT | 2022 | Low concern | Percentage of long-term care (LT) header records with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF) | 91.6 | TAF | Release 1 |
data | 41 | 51 | 54 | West Virginia | Service Use Information | Diagnosis Code - OT | 2022 | Low concern | Percentage of other service (OT) header records for outpatient hospital services, physician services, or clinic services with a valid ICD-10 primary diagnosis code in the T-MSIS Analytic Files (TAF) | 96.3 | TAF | Release 1 |
data | 41 | 65 | 54 | West Virginia | Service Use Information | Procedure Codes - IP | 2022 | Low concern | Multiple criteria: (1) Percentage of inpatient (IP) header records with a missing primary procedure code, and (2) the percentage of IP header records with any invalid procedure codes in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 63 | 54 | West Virginia | Service Use Information | Procedure Codes - OT Professional | 2022 | Low concern | Percentage of all other service (OT) professional claim line records with missing or invalid values in the procedure code field in the T-MSIS Analytic Files (TAF) | 1.9 | TAF | Release 1 |
data | 41 | 64 | 54 | West Virginia | Service Use Information | Procedure Codes - OT Institutional | 2022 | Low concern | Percentage of all other service (OT) institutional claim line records with missing or invalid values in the procedure code field in the T-MSIS Analytic Files (TAF) | 7.1 | TAF | Release 1 |
data | 41 | 52 | 54 | West Virginia | Service Use Information | Type of Service - IP | 2022 | Low concern | Percentage of inpatient (IP) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 54 | 54 | West Virginia | Service Use Information | Type of Service - LT | 2022 | Low concern | Percentage of long-term care (LT) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 53 | 54 | West Virginia | Service Use Information | Type of Service - OT | 2022 | Low concern | Percentage of other service (OT) claim line records with a missing or invalid type of service (TOS) code in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 55 | 54 | West Virginia | Service Use Information | Type of Service - RX | 2022 | Low concern | Percentage of pharmacy (RX) claim line records with a missing or invalid type of service code (TOS) in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 62 | 54 | West Virginia | Service Use Information | Place of Service | 2022 | Low concern | Percentage of all other service (OT) header records with the expected combination of type of bill (TOB) code and place of service code (POS) in the T-MSIS Analytic Files (TAF) | 100.0 | TAF | Release 1 |
data | 41 | 41 | 54 | West Virginia | Service Use Information | Admission Date - IP | 2022 | Low concern | Percentage of inpatient (IP) records with a missing or invalid admission date in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 42 | 54 | West Virginia | Service Use Information | Admission Date - LT | 2022 | Low concern | Percentage of long-term care (LT) records with a missing or invalid admission date in the T-MSIS Analytic Files (TAF) | 0.1 | TAF | Release 1 |
data | 41 | 43 | 54 | West Virginia | Service Use Information | Discharge Date - IP | 2022 | Low concern | Percentage of inpatient (IP) records with an unexpectedly missing or invalid discharge date in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 44 | 54 | West Virginia | Service Use Information | Discharge Date - LT | 2022 | Low concern | Multiple criteria: Percentage of long-term care (LT) records with (1) a missing discharge date and (2) an unexpectedly missing or invalid discharge date in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 23 | 54 | West Virginia | Service Use Information | Type of Bill - IP | 2022 | Low concern | Percentage of inpatient (IP) claim header records with an expected type of bill code in the T-MSIS Analytic Files (TAF) | 99.8 | TAF | Release 1 |
data | 41 | 24 | 54 | West Virginia | Service Use Information | Type of Bill - LT | 2022 | Low concern | Percentage of long-term care (LT) claim header records with an expected type of bill code in the T-MSIS Analytic Files (TAF) | 98.5 | TAF | Release 1 |
data | 41 | 25 | 54 | West Virginia | Service Use Information | Type of Bill - OT | 2022 | Low concern | Multiple criteria: (1) Percentage of other service (OT) claim header records with an unexpected or invalid type of bill code and (2) percentage of OT claim header records with a missing type of bill code in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 40 | 54 | West Virginia | Service Use Information | Generic Indicator - RX | 2022 | Low concern | Multiple criteria: See Background and Methods | See Background and Methods | TAF | Release 1 |
data | 41 | 89 | 54 | West Virginia | Service Use Information | National Drug Code - RX | 2022 | Low concern | Percentage of pharmacy (RX) line records with a missing or invalid National Drug Code (NDC) code in the T-MSIS Analytic Files (TAF) | 4.1 | TAF | Release 1 |
data | 41 | 90 | 54 | West Virginia | Service Use Information | Days' Supply, Quantity, and Units - RX | 2022 | Low concern | Percentage of pharmacy (RX) line records with either (1) a days' supply value that is missing, invalid, or greater than 180, or (2) a missing or unusable National Drug Code (NDC) quantity in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 60 | 54 | West Virginia | Non-Claim Records | Supplemental Payments | 2022 | Unclassified | Multiple criteria: See Background and Methods | See Background and Methods | TAF | Release 1 |
data | 41 | 61 | 54 | West Virginia | Non-Claim Records | Non-Program (Other) Claims | 2022 | Low concern | Percentage of claim records with other, non-program claim type code in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 85 | 54 | West Virginia | Non-Claim Records | Service Tracking Claims | 2022 | Low concern | Multiple criteria: Percentage of service tracking claims that meet any of the following criteria: (1) problematic MSIS ID value, (2) missing service tracking type code, or (3) missing service tracking payment in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 33 | 54 | West Virginia | Provider Information | Billing Provider NPI - IP | 2022 | Low concern | Percentage of records in the IP file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 34 | 54 | West Virginia | Provider Information | Billing Provider NPI - LT | 2022 | Low concern | Percentage of records in the LT file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 35 | 54 | West Virginia | Provider Information | Billing Provider NPI - OT | 2022 | Low concern | Percentage of records in the OT file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 5.0 | TAF | Release 1 |
data | 41 | 36 | 54 | West Virginia | Provider Information | Billing Provider NPI - RX | 2022 | Low concern | Percentage of records in the RX file with a missing billing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 30 | 54 | West Virginia | Provider Information | Servicing Provider NPI - OT | 2022 | Low concern | Percentage of other service (OT) line records with a missing servicing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 5.6 | TAF | Release 1 |
data | 41 | 31 | 54 | West Virginia | Provider Information | Prescribing Provider NPI - RX | 2022 | Low concern | Percentage of pharmacy (RX) header records with a missing prescribing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 0.1 | TAF | Release 1 |
data | 41 | 32 | 54 | West Virginia | Provider Information | Dispensing Provider NPI - RX | 2022 | Low concern | Percentage of pharmacy (RX) header records with a missing dispensing provider National Provider Identifier (NPI) in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
data | 41 | 37 | 54 | West Virginia | Provider Information | Billing Provider Type, Specialty, and Taxonomy - IP | 2022 | Low concern | Percentage of inpatient (IP) header records with an expected billing provider type, specialty, state-reported taxonomy, or NPPES taxonomy code in the T-MSIS Analytic Files (TAF) | 100.0 | TAF | Release 1 |
data | 41 | 38 | 54 | West Virginia | Provider Information | Billing Provider Type, Specialty, and Taxonomy - LT | 2022 | Low concern | Percentage of long-term care (LT) header records with an expected billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF) | 99.6 | TAF | Release 1 |
data | 41 | 104 | 54 | West Virginia | Provider Information | Billing Provider Type, Specialty, and Taxonomy - OT Professional | 2022 | Low concern | Percentage of header records on other service (OT) professional claims with a valid billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF) | 98.6 | TAF | Release 1 |
data | 41 | 105 | 54 | West Virginia | Provider Information | Billing Provider Type, Specialty, and Taxonomy - OT Institutional | 2022 | Low concern | Percentage of header records on other service (OT) institutional claims with a valid billing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF) | 100.0 | TAF | Release 1 |
data | 41 | 103 | 54 | West Virginia | Provider Information | Billing Provider Specialty and Taxonomy - RX | 2022 | Low concern | Percentage of RX header records with an expected billing provider specialty or taxonomy code | 99.9 | TAF | Release 1 |
data | 41 | 106 | 54 | West Virginia | Provider Information | Servicing Provider Type, Specialty, and Taxonomy - OT Professional | 2022 | Low concern | Percentage of line records on other service (OT) professional claims with a valid servicing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF) | 92.2 | TAF | Release 1 |
data | 41 | 107 | 54 | West Virginia | Provider Information | Servicing Provider Type, Specialty, and Taxonomy - OT Institutional | 2022 | Low concern | Percentage of line records on other service (OT) institutional claims with a valid servicing provider type, specialty, state-reported taxonomy, or NPPES primary taxonomy code in the T-MSIS Analytic Files (TAF) | 99.7 | TAF | Release 1 |
data | 41 | 26 | 54 | West Virginia | Provider Information | Hospital Type - IP | 2022 | Low concern | Percentage of inpatient (IP) claim header records with an expected type of hospital code in the T-MSIS Analytic Files (TAF) | 100.0 | TAF | Release 1 |
data | 41 | 91 | 54 | West Virginia | Provider Information | Active Enrollment Status Indicator | 2022 | High concern | Percentage of unique Annual Provider (APR) file provider IDs where the active enrollment status indicator aligns with the claims in the T-MSIS Analytic Files (TAF) | 58.8 | TAF | Release 1 |
data | 41 | 94 | 54 | West Virginia | Provider Information | Facility/Group/Individual Code | 2022 | Low concern | Multiple criteria: (1) Percentage of providers that are facility providers, (2) percentage of providers that are group providers, (3) percentage of providers that are individual providers, and (4) percentage of providers with a valid facility/group/individual code in the T-MSIS Analytic Files (TAF) | See Background and Methods | TAF | Release 1 |
data | 41 | 95 | 54 | West Virginia | Provider Information | Group and Individual Providers - Classification Types | 2022 | Low concern | Percentage of individual and group providers with a valid, usable, and applicable value reported for at least one classification type in the T-MSIS Analytic Files (TAF) | 97.3 | TAF | Release 1 |
data | 41 | 97 | 54 | West Virginia | Provider Information | Facilities - Classification Types | 2022 | Low concern | Percentage of facility providers with a valid, usable, and applicable value reported for at least one classification type in the T-MSIS Analytic Files (TAF) | 94.1 | TAF | Release 1 |
data | 41 | 96 | 54 | West Virginia | Provider Information | Facility Characteristics | 2022 | Unusable | Percentage of facility providers with a valid value reported for ownership code and profit status code in the T-MSIS Analytic Files (TAF) | 0.0 | TAF | Release 1 |
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