CLT.002.141

PATIENT-STATUS

Data Element

DE Number

CLT141

System DE Number

CLT.002.141

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00002

File Segment Name

CLAIM-HEADER-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code indicating the patient's status as of the last day the claim covers. Values used are from UB-04. This is also referred to as patient discharge status. A valid list of codes can be purchased at https://www.nubc.org/license
Size	X(2)
FLF Start Position	883
FLF Stop Position	884
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Patient Status List (VVL). 2. Value must be 2 characters 3. Mandatory

This data element's valid value code set is maintained by a Code Set Maintenance Organization (CSMO), the official licensing organization for specific valid value code sets. The CSMO is the system of record for those specific valid value code sets. While T-MSIS endeavors to be in-sync with CMSO's updates, minor delays may occur but that shouldn't block T-MSIS data submissions using the CSMO's latest version.

A valid list of Patient Status codes can be purchased at https://www.nubc.org/license

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1141	If the patient status is populated on a non-denied claim from an LT file, then the patient status reported must be found in the list of valid values.
RULE-6242	If a claim is a non-denied claim from an LT file, then the patient status value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name
FFS-5-005-25	% of claim headers with Patient Status of still a patient
FFS-5-006-11	% of claim headers with home Patient Status
FFS-5-007-9	% of claim headers with deceased Patient Status
FFS-7-005-15	% of claim headers with Patient Status of still a patient
FFS-7-006-11	% of claim headers with home Patient Status
FFS-7-007-9	% of claim headers with deceased Patient Status
MCR-5-005-16	% of claim headers with Patient Status of still a patient
MCR-5-006-11	% of claim headers with home Patient Status
MCR-5-007-9	% of claim headers with deceased Patient Status
MCR-7-005-15	% of claim headers with Patient Status of still a patient
MCR-7-006-21	% of claim headers with home Patient Status
MCR-7-007-9	% of claim headers with deceased Patient Status
MIS-4-032-32	% missing: PATIENT-STATUS (CLT00002)
MIS-23-035-35	% missing: PATIENT-STATUS (CLT00002)
MIS-81-035-35	% missing: PATIENT-STATUS (CLT00002)
MCR-7-006-11	% of records with Home Patient Status

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP199	CIP.002.199	PATIENT-STATUS	CIP00002	CLAIM-HEADER-RECORD-IP