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Variable: CLM_HHA_LUPA_IND_CD

Claim HHA Low Utilization Payment Adjustment (LUPA) Indicator Code

Description

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 Home Health resource groups (HHRGs).

Comment

Beginning 10/1/00, this field was populated with data. Claims processed prior to 10/1/00 contained spaces.

Values

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

Values for
Value Description
L Low utilization payment adjustment (LUPA) claim
Blank Not a LUPA claim; process using Home Health resource groups (HHRG)

Other Info

Some additional information on this variable:

  • Short Name: LUPAIND
  • Long Name: CLM_HHA_LUPA_IND_CD
  • Type: CHAR
  • Length: 1
  • Source: NCH
  • Value Format:

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