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HIPPS Value Based Purchasing Amount

CLM_HIPPS_VBP_AMT

THIS FIELD REPRESENTS THE HOSPITAL VALUE BASED PURCHASING AMOUNT. THIS COULD BE AN ADDITIONAL PAYMENT ON THE CLAIM OR A REDUCTION, DEPENDING ON THE HOSPITALÒ² SCORE.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(code = 'CLM_HIPPS_VBP_AMT')
).amount.value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_HIPPS_VBP_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

10.04

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

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