Variable: CLM_HHA_RFRL_CD

Claim Referral Code

Description:

The code used to identify those Home Health PPS claims that have 4 visits or less in a 60-day episode.

Values

This variable is coded, and will contain one of the following values.

Value	Description
1	PHYSICIAN REFERRAL - THE PATIENT WAS ADMITTED UPON THE RECOMMENDATION OF A PERSONAL PHYSICIAN.
2	CLINIC REFERRAL - THE PATIENT WAS ADMITTED UPON THE RECOMMENDATION OF THIS FACILITY'S CLINIC PHYSICIAN.
3	HMO REFERRAL - THE PATIENT WAS ADMITTED UPON THE RECOMMENDATION OF AN HEALTH MAINTENANCE ORGANIZATION (HMO)PHYSICIAN.
4	TRANSFER FROM HOSPITAL - THE PATIENT WAS ADMITTED AS AN INPATIENT TRANSFER FROM AN ACUTE CARE FACILITY.
5	TRANSFER FROM A SKILLED NURSING FACILITY (SNF) - THE PATIENT WAS ADMITTED AS AN INPATIENT TRANSFER FROM A SNF.
6	TRANSFER FROM ANOTHER HEALTH CARE FACILITY - THE PATIENT WAS ADMITTED AS A TRANSFER FROM A HEALTH CARE FACILITY OTHER THAN AN ACUTE CARE FACILITY OR SNF.
7	EMERGENCY ROOM - THE PATIENT WAS ADMITTED UPON THE RECOMMENDATION OF THIS FACILITY'S EMERGENCY ROOM PHYSICIAN.
8	COURT/LAW ENFORCEMENT - THE PATIENT WAS ADMITTED UPON THE DIRECTION OF A COURT OF LAW OR UPON THE REQUEST OF A LAW ENFORCEMENT AGENCY'S REPRESENTATIVE.
9	INFORMATION NOT AVAILABLE - THE MEANS BY WHICH THE PATIENT WAS ADMITTED IS NOT KNOWN.
A	TRANSFER FROM A CRITICAL ACCESS HOSPITAL - PATIENT WAS ADMITTED/REFERRED TO THIS FACILITY AS A TRANSFER FROM A CRITICAL ACCESS HOSPITAL.
B	TRANSFER FROM ANOTHER HHA – BENEFICIARIES ARE PERMITTED TO TRANSFER FROM ONE HHA TO ANOTHER UNRELATED HHA UNDER HH PPS.(EFF. 10/00)
C	READMISSION TO SAME HHA - IF A BENEFICIARY IS DISCHARGED FROM AN HHA AND THEN READMITTED WITHIN THE ORIGINAL 60-DAY EPISODE THE ORIGINAL EPISODE MUST BE CLOSED EARLY AND A NEW ONE CREATED.
~	NO DESCRIPTION AVAILABLE