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Claim Total Visit Count

CLM_MDCR_HHA_TOT_VISIT_CNT

EFFECTIVE WITH NCH VERSION H, THE COUNT OF THE NUMBER OF HHA VISITS AS DERIVED BY CWF. NOTE1: DURING THE NCH 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. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.adjudication.where(
category.coding.where(
system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
code = 'CLM_MDCR_HHA_TOT_VISIT_CNT'
).exists()
).value
Coverage / Claim Type
  • HHA
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_HHA_TOT_VISIT_CNT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example

2

Mappings

CCW
  • CLM_HHA_TOT_VISIT_CNT
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