Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Policy
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: How do issuers identify the discharge status code on outpatient or institutional claims when they do not have a discharge date?
Answer: You should use the field 'Statement Covers Through' (XML element name statementCoverToDate) to indicate the end of outpatient service. For inpatient claims, this would be the discharge code. For additional information, please refer to the current Interface Control Document (ICD) Version, located under the Distributed Data Collection (DDC) program area at https://www.REGTAP.info in the REGTAP Library.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 25, 2014
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.