HHA Claim Occurrence Span Code Count

Variable Name : HHSPNCNT

Label :  HHA Claim Occurrence Span Code Count 

The count of the number of occurrence span codes reported on an HHA claim. The purpose of the count is to indicate how many span code trailers are present. 2 DIGITS UNSIGNED 

 DB2 ALIAS: HHA_OCRNC_SPAN_CNT 

 SAS ALIAS: HHSPNCNT 

 STANDARD ALIAS: HHA_CLM_OCRNC_SPAN_CD_CNT 

 COMMENT: Prior to Version H this field was named: CLM_OCRNC_SPAN_CD_CNT. 

 SOURCE: NCH  

Variable Name :HHVALCNT

Label :  HHA Claim Value Code Count

The count of the number of value codes reported on an HHA claim. The purpose of the count is to indicate how many value code trailers are present. 2 DIGITS UNSIGNED 

 DB2 ALIAS: HHA_CLM_VAL_CD_CNT 

 SAS ALIAS: HHVALCNT 

 STANDARD ALIAS: HHA_CLM_VAL_CD_CNT EDIT-RULES: RANGE: 0 TO 36 COMMENT: Prior to Version H this field was named: CLM_VAL_CD_CNT. 

 SOURCE: NCH 

Variable Name : HHREVCNT

Label :  HHA Revenue Center Code Count

The count of the number of revenue codes reported on an HHA claim. The purpose of the count is to indicate how many revenue center trailers are present. 2 DIGITS UNSIGNED 

DB2 ALIAS: HHA_REV_CNTR_CNT 

SAS ALIAS: HHREVCNT 

STANDARD ALIAS: HHA_REV_CNTR_CD_I_CNT 

EDIT-RULES: RANGE: 0 TO 45 

COMMENT: Prior to Version H this field was named: CLM_REV_CNTR_CD_CNT. 

NOTE: During the Version 'I' conversion the number of occurrences changed to 45 (per segment - 450 total for claim). For claims prior to Version 'I' the number of occurrences was 58. 

SOURCE: NCH 

Variable Name : LUPAIND

Label :  Claim HHA Low Utilization Payment Adjustment (LUPA) 

Effective with Version I, the code used to identify those Home Health PPS claims that have 4 visits or less in a 60- day episode. If an HHA provides 4 visits or less, they will be reimbursed based on a national standardized per visit rate instead of HHRGs. 

NOTE: Beginning 10/1/00, this field will be populated with data. Claims processed prior to 10/1/00 will contain spaces. 

DB2 ALIAS: HHA_LUPA_IND_CD SAS ALIAS: LUPAIND 

STANDARD ALIAS: CLM_HHA_LUPA_IND_CD 

TITLE ALIAS: HHA_TOT_VISITS CODES: L = LUPA Claim blank = Not a LUPA claim SOURCE: CWF 

Variable Name : HHA_RFRL

Label :  Claim HHA Referral Code 

Effective with Version 'I', the code used to identify the means by which the beneficiary was referred for Home Health services.NOTE: Beginning 10/1/00, this field will be populated with data. Claims processed prior to 10/1/00 will contain spaces in this field. 

DB2 ALIAS: CLM_HHA_RFRL_CD SAS ALIAS: HHA_RFRL 

STANDARD ALIAS: CLM_HHA_RFRL_CD 

SYSTEM ALIAS: LTHRFRL TITLE ALIAS: HHA_REFERRAL_CODE 

SOURCE: CWF