Variable Name : REVIND{x}
where { x } ranges from 1 to 58
Label : NCH Revenue Center Trailer Indicator Code
Effective with Version H, the code identifying the revenue center trailer. During the Version H conversion this field was populated with data throughout history (back to service year 1991).
Effective with Version H, the code identifying the revenue center trailer. During the Version H conversion this field was populated with data throughout history (back to service year 1991).
DB2 ALIAS: REV_CNTR_TRLR_CD
SAS ALIAS: REVIND
STANDARD ALIAS: NCH_REV_CNTR_TRLR_IND_CD
CODES:
R = Revenue code trailer present
SOURCE:
NCH
Variable Name : RVCNTR{x}
where { x } ranges from 1 to 58
Label : Revenue Center Code
The provider-assigned revenue code for each cost center for which a separate charge is billed (type of ancillary). A cost center is a division or unit within a hospital (e.g., radiology, emergency room, pathology). EXCEPTION: Revenue center code 0001 represents the total of all revenue centers included on the claim.
COBOL ALIAS: REV_CD
DB2 ALIAS: REV_CNTR_CD
SAS ALIAS: REV_CNTR
STANDARD ALIAS: REV_CNTR_CD
SYSTEM ALIAS: LTRC
TITLE ALIAS: REVENUE_CENTER_CD CODES: REFER TO: REV_CNTR_TB IN THE CODES APPENDIX
SOURCE: CWF
The provider-assigned revenue code for each cost center for which a separate charge is billed (type of ancillary). A cost center is a division or unit within a hospital (e.g., radiology, emergency room, pathology). EXCEPTION: Revenue center code 0001 represents the total of all revenue centers included on the claim.
COBOL ALIAS: REV_CD
DB2 ALIAS: REV_CNTR_CD
SAS ALIAS: REV_CNTR
STANDARD ALIAS: REV_CNTR_CD
SYSTEM ALIAS: LTRC
TITLE ALIAS: REVENUE_CENTER_CD CODES: REFER TO: REV_CNTR_TB IN THE CODES APPENDIX
SOURCE: CWF
Variable Name : REV_DT{x} where { x } ranges from 1 to 58
Label : Revenue Center Date
Effective with Version H, the date applicable to the service represented by the revenue center code. This field may be present on any of the institutional claim types. For home health claims the service date should be present on all bills with from date greater than 3/31/98. With the implementation of outpatient PPS, hospitals will be required to enter line item dates of service for all outpatient services which require a HCPCS. NOTE1: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain zeroes in this field. NOTE2: When revenue center code equals '0022' (SNF PPS) and revenue center HCPCS code not equal to 'AAA00' (default for no assessment), date represents the MDS RAI assessment reference date. NOTE3: When revenue center code equals '0023' (HHPPS), the date on the initial claim (RAP) must represent the first date of service in the episode. The final claim will match the '0023' information submitted on the initial claim. The SCIC (significant change in condition) claims may show additional '0023' revenue lines in which the date represents the date of the first service under the revised plan of treatment. 8 DIGITS UNSIGNED
DB2 ALIAS: REV_CNTR_DT SAS ALIAS: REV_DT
STANDARD ALIAS: REV_CNTR_DT
TITLE ALIAS: REV_CNTR_DATE EDIT-RULES: YYYYMMDD
SOURCE: CWF
Effective with Version H, the date applicable to the service represented by the revenue center code. This field may be present on any of the institutional claim types. For home health claims the service date should be present on all bills with from date greater than 3/31/98. With the implementation of outpatient PPS, hospitals will be required to enter line item dates of service for all outpatient services which require a HCPCS. NOTE1: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain zeroes in this field. NOTE2: When revenue center code equals '0022' (SNF PPS) and revenue center HCPCS code not equal to 'AAA00' (default for no assessment), date represents the MDS RAI assessment reference date. NOTE3: When revenue center code equals '0023' (HHPPS), the date on the initial claim (RAP) must represent the first date of service in the episode. The final claim will match the '0023' information submitted on the initial claim. The SCIC (significant change in condition) claims may show additional '0023' revenue lines in which the date represents the date of the first service under the revised plan of treatment. 8 DIGITS UNSIGNED
DB2 ALIAS: REV_CNTR_DT SAS ALIAS: REV_DT
STANDARD ALIAS: REV_CNTR_DT
TITLE ALIAS: REV_CNTR_DATE EDIT-RULES: YYYYMMDD
SOURCE: CWF
Variable Name : RVNS1{x} where { x } ranges from 1 to 58
Label : Revenue Center 1st ANSI Code
The first code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
The first code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
DB2 ALIAS: REV_CNTR_ANSI1_CD
SAS ALIAS: REVANSI1
STANDARD ALIAS: REV_CNTR_ANSI_1_CD
SYSTEM ALIAS: LTANSI
TITLE ALIAS: ANSI_CD
CODES:
REFER TO: REV_CNTR_ANSI_TB
IN THE CODES APPENDIX
SOURCE:
CWF
Variable Name : RVNS3{x}where { x } ranges from 1 to 58
Label : Revenue Center 3rd ANSI Code
The third code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
The third code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
DB2 ALIAS: REV_CNTR_ANSI3_CD
SAS ALIAS: REVANSI3
STANDARD ALIAS: REV_CNTR_ANSI_3_CD
TITLE ALIAS: ANSI_CD
SOURCE:
CWF
Label : Revenue Center 4th ANSI Code
The fourth code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
Variable Name : RVNS4{x} where { x } ranges from 1 to 58
The fourth code used to identify the detailed reason an adjustment was made (e.g. reason for denial or reducing payment). NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field.
DB2 ALIAS: REV_CNTR_ANSI4_CD
SAS ALIAS: REVANSI4
STANDARD ALIAS: REV_CNTR_ANSI_4_CD
TITLE ALIAS: ANSI_CD
SOURCE:CWF
Variable Name : APCPPS{x} where { x } ranges from 1 to 58
Label : Revenue Center APC/HIPPS Code
Effective with Outpatient PPS (OPPS), the Ambulatory Payment Classification (APC) code used to identify groupings of outpatient services. APC codes are used to calculate payment for services under OPPS. Effective with Home Health PPS (HHPPS), this field will only be populated with a HIPPS code if the HIPPS code that is stored in the HCPCS field has been downcoded and the new code will be placed in this field. NOTE1: Under SNF PPS and HHPPS, HIPPS codes are stored in the HCPCS field. **EXCEPTION: if a HHPPS HIPPS code is downcoded the downcoded HIPPS will be stored in this field.
Effective with Outpatient PPS (OPPS), the Ambulatory Payment Classification (APC) code used to identify groupings of outpatient services. APC codes are used to calculate payment for services under OPPS. Effective with Home Health PPS (HHPPS), this field will only be populated with a HIPPS code if the HIPPS code that is stored in the HCPCS field has been downcoded and the new code will be placed in this field. NOTE1: Under SNF PPS and HHPPS, HIPPS codes are stored in the HCPCS field. **EXCEPTION: if a HHPPS HIPPS code is downcoded the downcoded HIPPS will be stored in this field.
NOTE2: Beginning with NCH weekly process date
8/18/00, this field will be populated with data.
Claims processed prior to 8/18/00 will contain
spaces in this field.
DB2 ALIAS: REV_APC_HIPPS_CD
SAS ALIAS: APCHIPPS
STANDARD ALIAS: REV_CNTR_APC_HIPPS_CD
SYSTEM ALIAS: LTAPC
TITLE ALIAS: APC_HIPPS
CODES:
REFER TO: REV_CNTR_APC_TB
IN THE CODES APPENDIX
SOURCE:
CWF
Variable Name : HCPSCD{x} where { x } ranges from 1 to 58
Label : Revenue Center HCFA Common Procedure Coding System Code
HCFA's Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. The codes are divided into three levels, or groups, as described below: DB2 ALIAS: REV_CNTR_HCPCS_CD
HCFA's Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. The codes are divided into three levels, or groups, as described below: DB2 ALIAS: REV_CNTR_HCPCS_CD
SAS ALIAS: HCPCS_CD
STANDARD ALIAS: REV_CNTR_HCPCS_CD
SYSTEM ALIAS: LTHIPPS
TITLE ALIAS: HCPCS_CD
CODES:
REFER TO: CLM_HIPPS_TB
IN THE CODES APPENDIX
COMMENT:
Prior to Version H this field was named:
HCPCS_CD. With Version H, a prefix
was added to denote the location of this field
on each claim type (institutional: REV_CNTR and
non-institutional: LINE).
NOTE: When revenue center code = '0022' (SNF PPS) or '0023' (HH PPS), this field contains the Health
Insurance PPS (HIPPS) code. The HIPPS code for
SNF PPS contains the rate code/assessment type that
identifies (1) RUG-III group the beneficiary was
classified into as of the RAI MDS assessment reference
date and (2) the type of assessment for payment purposes.
The HIPPS code for Home Health PPS identifies
(1) the three case-mix dimensions of the HHRG system,
clinical, functional and utilization, from which a
beneficiary is assigned to one of the 80 HHRG
categories and (2) it identifies whether or not
the elements of the code were computed or derived.
The HHRGs, represented by the HIPPS coding, will be
the basis of payment for each episode.
For both SNF PPS & HH PPS HIPPS values see
CLM_HIPPS_TB.
Level I
Codes and descriptors copyrighted by the American
Medical Association's Current Procedural
Terminology, Fourth Edition (CPT-4). These are
5 position numeric codes representing physician
and nonphysician services.
**** Note: ****
CPT-4 codes including both long and short
descriptions shall be used in accordance with the
HCFA/AMA agreement. Any other use violates the
AMA copyright.
Level II
Includes codes and descriptors copyrighted by
the American Dental Association's Current Dental
Terminology, Second Edition (CDT-2). These are
5 position alpha-numeric codes comprising
the D series. All other level II codes and
descriptors are approved and maintained jointly
by the alpha-numeric editorial panel (consisting
of HCFA, the Health Insurance Association of
America, and the Blue Cross and Blue Shield
Association). These are 5 position alphanumeric
codes representing primarily items and
nonphysician services that are not
represented in the level I codes.
Level III
Codes and descriptors developed by Medicare
carriers for use at the local (carrier) level.
These are 5 position alpha-numeric codes in the
W, X, Y or Z series representing physician
and nonphysician services that are not
represented in the level I or level II codes.
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