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This variable is contained in the following files:
SAS Name
CLM_HHA_LUPA_IND_CD
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).
| Code | Code value |
|---|---|
| L | Low utilization payment adjustment (LUPA) claim |
| BLANK | Not a LUPA claim; process using Home Health resource groups (HHRG) |
Beginning 10/1/00, this field was populated with data. Claims processed prior to 10/1/00 contained spaces.
Source: NCH