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  

HHA Claim Demonstration ID Count

Variable Name : HHDEMCNT

Label :  HHA Claim Demonstration ID Count 

A placeholder field (effective with Version H) for storing the count of the number of Health PlanIDs reported on the HHA claim. The purpose of this count is to indicate how many Health PlanID trailers are present. NOTE: Prior to Version 'I' this field was named: HHA_CLM_PAYERID_CNT. 1 DIGIT UNSIGNED 

DB2 ALIAS: HHA_PLANID_CNT 

SAS ALIAS: HHPLANNT 

STANDARD ALIAS: HHA_CLM_HLTH_PLANID_CNT EDIT-RULES: RANGE: 0 TO 3 SOURCE: NCH 

Variable Name : HHDEMCNT

Label :  HHA Claim Demonstration ID Count

Effective with Version H, the count of the number of claim demonstration IDs reported on an HHA claim. The purpose of this count is to indicate how many claim demonstration trailers are present. NOTE: During the Version H conversion this field was populated with data where a demo was identifiable. 1 DIGIT UNSIGNED

 DB2 ALIAS: HHA_DEMO_ID_CNT 

SAS ALIAS: HHDEMCNT 

STANDARD ALIAS: HHA_CLM_DEMO_ID_CNT EDIT-RULES: RANGE: 0 TO 5 

SOURCE: NCH 

Variable Name : HHDGNCNT

Label :  HHA Claim Diagnosis Code Count

The count of the number of diagnosis codes (both principal and other) reported on an HHA claim. The purpose of this count is to indicate how many claim diagnosis trailers are present. 2 DIGITS UNSIGNED 

DB2 ALIAS: HHA_DGNS_CD_CNT 

SAS ALIAS: HHDGNCNT 

STANDARD ALIAS: HHA_CLM_DGNS_CD_CNT EDIT-RULES: RANGE: 0 TO 10 COMMENT: Prior to Version H this field was named: CLM_OTHR_DGNS_CD_CNT and the principal was not included in the count. 

 SOURCE: NCH

Variable Name : HHCONCNT

Label :  HHA Claim Related Condition Code Count

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

DB2 ALIAS: HHA_COND_CD_CNT 

SAS ALIAS: HHCONCNT 

STANDARD ALIAS: HHA_CLM_RLT_COND_CD_CNT EDIT-RULES: RANGE: 0 TO 30 COMMENT: Prior to Version H this field was named: CLM_RLT_COND_CD_CNT. 

SOURCE: NCH 

Variable Name : HHOCRCNT

Label :  HHA Claim Related Occurrence Code Count

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

DB2 ALIAS: HHA_RLT_OCRNC_CNT SAS ALIAS: HHOCRCNT 

STANDARD ALIAS: HHA_CLM_RLT_OCRNC_CD_CNT EDIT-RULES: RANGE: 0 TO 30 COMMENT: Prior to Version H this field was named: CLM_RLT_OCRNC_CD_CNT. 

SOURCE: NCH