Claim HHA Total Visit Count

Variable Name :VISITCNT

Label :  Claim HHA Total Visit Count

Effective with Version H, the count of the number of HHA visits as derived by CWF. 

NOTE1: During the Version H conversion this field was populated with data throughout history (back to service year 1991) using the CWF derivation rule (units associated with revenue center codes 042X, 043X, 044X, 055X, 056X, 057X, 058X and 059X. Value '999' will be displayed if the sum of the revenue center unit count equals or exceeds '999'. 

NOTE2: Effective 7/1/99, all HHA claims received with service from dates 7/1/99 and after will be processed as if the units field contains the 15 minute interval count; and each visit revenue code line item will be counted as ONE visit. This field is calculated correctly; but those users who derive the count themselves they will have to revise their routine. 

NO LONGER IS THE COUNT DERIVED BY ADDING UP THE UNITS FIELDS ASSOCIATED WITH THE HHA VISIT REVENUE CODES. 3 DIGITS SIGNED DB2 

ALIAS: HHA_TOT_VISIT_CNT 

SAS ALIAS: VISITCNT 

STANDARD ALIAS: CLM_HHA_TOT_VISIT_CNT 

TITLE ALIAS: HHA_TOT_VISITS 

SOURCE: CWF 

Variable Name :QLFYFROM

Label :   NCH Qualified Stay From Date

Effective with Version H, the beginning date of the beneficiary's qualifying stay (used for internal CWFMQA editing purposes). For inpatient claims, the date relates to the PPS portion of the inlier for which there is no utilization to benefits. For SNF claims, the date relates to a qualifying stay from a hospital that is at least two days in a row if the source of admission is an 'A', or at least three days in a row if the source of admission is other than 'A'. 

NOTE: During the Version H conversion this field was populated with data throughout history (back to service year 1991).

8 DIGITS UNSIGNED 

DB2 ALIAS: QLFY_STAY_FROM_DT 

SAS ALIAS: QLFYFROM 

STANDARD ALIAS: NCH_QLFY_STAY_FROM_DT 

TITLE ALIAS: QLFYG_STAY_FROM_DT EDIT-RULES: YYYYMMDD 

DERIVATION: DERIVED FROM: CLM_OCRNC_SPAN_CD CLM_OCRNC_SPAN_FROM_DT DERIVATION RULES: Based on the presence of occurrence code 70 move the related occurrence from date to NCH_QLFY_STAY_FROM_DT. 

SOURCE: NCH QA Process

Variable Name :QLFYTHRU

Label :  NCH Qualify Stay Through Date

Effective with Version H, the ending date of the beneficiary's qualifying stay (used for internal CWFMQA editing purposes.) For inpatient claims, the date relates to the PPS portion of the inlier for which there is no utilization to benefits. For SNF claims, the date relates to a qualifying stay from a hospital that is at least two days in a row if the source of admission is an 'A', or at least three days in a row if the source of admission is other than 'A'. 

NOTE: During the Version H, conversion this field was populated with data throughout history (back to service year 1991). 8 DIGITS UNSIGNED 
DB2 ALIAS: QLFY_STAY_THRU_DT 
SAS ALIAS: QLFYTHRU STANDARD ALIAS: NCH_QLFY_STAY_THRU_DT
TITLE ALIAS: QLFYG_STAY_THRU_DT EDIT-RULES: YYYYMMDD DERIVATION: DERIVED FROM: CLM_OCRNC_SPAN_CD CLM_OCRNC_SPAN_THRU_DT DERIVATION RULES: Based on the presence of occurrence code 70 move the related occurrence thru date to NCH_QLFY_STAY_THRU_DT.
 SOURCE: NCH QA Process  

Variable Name :DSCHRGDT

Label :  NCH Beneficiary Discharge Date

Effective with Version H, on an inpatient and HHA claim, the date the beneficiary was discharged from the facility or died (used for internal CWFMQA editing purposes.) 
NOTE: During the Version H conversion this field was populated with data throughout history (back to service year 1991.) 
8 DIGITS UNSIGNED 
DB2 ALIAS: NCH_BENE_DSCHRG_DT 
SAS ALIAS: DSCHRGDT STANDARD ALIAS: NCH_BENE_DSCHRG_DT TITLE ALIAS: DISCHARGE_DT EDIT-RULES: YYYYMMDD DERIVATION: DERIVED FROM: NCH_PTNT_STUS_IND_CD CLM_THRU_DT DERIVATION RULES: Based on the presence of patient discharge status code not equal to 30 (still patient), move the claim thru date to the NCH_BENE_DSCHRG_DT. 
SOURCE: NCH QA Process