What is the methodology behind the Residential History File?
The goal of the RHF is to create a per-person chronological history of health service utilization and location of care within a pre-specified calendar (e.g. throughout a calendar year). The first step of the algorithm assigns utilizations/locations to days in a calendar. Depending upon the type of claim, the basic information from a claim is the location of care (hospital, nursing home, emergency room or observation days, and home) and type of provider (e.g. free-standing, hospital based, or swing bed). The sequence of data entered into the calendar is determined by a hierarchy formed according to our trust in the reliability of the claim, and the type of information it provides. Inpatient claims are first filled into dates of the calendar followed by days marking emergency department (ER) and observation days paid as outpatient claims. Next Skilled Nursing Facility (SNF) claims are entered onto days, followed by outpatient claims for skilled nursing service in a nursing home, and last
Related Questions
- The history file doesn have any effect on the Location or Netsite pulldown menu at the top of your browser window. To find out how to clear that, please see How do I clear the Location (Netsite) pulldown menu?
- Do I have to file an official program of study before taking History 797 or 799?
- What is the Residential History File (RHF)?
