|
Name |
Type |
Discontinued? |
|
1 |
ACCT_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the hospital account record. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
3 |
PPS_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
This category holds the data that indicates what type of data is on the row. A row can represent the pricing from the assessment or the pricing from the charges (what really happened). |
May contain organization-specific values: No |
Category Entries: |
PPS / Assessment-Based |
Expected Final / Charge-Based |
|
|
4 |
HIPPS_CODE |
VARCHAR |
No |
|
|
|
Stores the calculated HIPPS code. Item HAR 680 stores if it is assessment based or charge based. |
|
|
5 |
EXP_PAYMENT |
NUMERIC |
No |
|
|
|
Expected payment for the associated HIPPS code. Multiple responses are permitted (one per line). |
|
|
6 |
NRS_AMOUNT |
NUMERIC |
No |
|
|
|
Non routine supply amount for the associated HIPPS code. Multiple responses are permitted (one per line). |
|
|
7 |
EPISODE_RATE |
NUMERIC |
No |
|
|
|
The episode rate for the associated HIPPS code. |
|
|
8 |
PAYMENT_CASE_C_NAME |
VARCHAR |
No |
|
|
|
Payment case for the associated HIPPS code. |
May contain organization-specific values: No |
Category Entries: |
None |
Full Episode Rate |
LUPA |
PEP |
SCIC |
No-Visit RAP |
|
|
9 |
ADD_ON_LUPA |
NUMERIC |
No |
|
|
|
This item stores the Low Utilization Payment Adjustment (LUPA) add on amount. |
|
|
10 |
ADD_ON_RURAL |
NUMERIC |
No |
|
|
|
This item stores the rural add on amount. |
|
|
11 |
ADD_ON_OUTLIER |
NUMERIC |
No |
|
|
|
This item stores the outlier add on amount. |
|
|
12 |
LOCALE_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the locale record for this row. |
|
|
13 |
LOCALE_ID_LOCALE_NAME |
VARCHAR |
No |
|
|
|
The name of the locale record. |
|
|
14 |
EPISODE_TIMING_C_NAME |
VARCHAR |
No |
|
|
|
The episode timing for this Home Health PDGM account. |
May contain organization-specific values: No |
Category Entries: |
Early |
Late |
Missing |
|
|
15 |
ADMIT_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
The admission source for this Home Health PDGM account. |
May contain organization-specific values: No |
Category Entries: |
Community |
Institutional |
Missing |
|
|
16 |
CLINICAL_GROUP_C_NAME |
VARCHAR |
No |
|
|
|
The clinical group for this Home Health PDGM account. |
May contain organization-specific values: No |
Category Entries: |
MMTA - Other |
Neuro/Stroke Rehabilitation |
Wound Care |
Complex Nursing Interventions |
Musculoskeletal Rehabilitation |
Behavioral Health |
MMTA - Surgical Aftercare |
MMTA - Cardiac |
MMTA - Endocrine |
MMTA - GI/GU |
MMTA - Infectious |
MMTA - Respiratory |
Missing Primary Diagnosis |
Questionable Encounter |
|
|
17 |
FUNCTIONAL_LEVEL_C_NAME |
VARCHAR |
No |
|
|
|
The functional impairment level for this Home Health PDGM account. |
May contain organization-specific values: No |
Category Entries: |
Low |
Medium |
High |
|
|
18 |
COMORBIDITY_ADJUSTMENT_C_NAME |
VARCHAR |
No |
|
|
|
The comorbidity adjustment for this Home Health PDGM account. |
May contain organization-specific values: No |
Category Entries: |
No Comorbidity |
Low Comorbidity |
High Comorbidity |
|
|