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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 hospital's 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 theU.S. Department of Health and Human Services and theCenters for Medicare & Medicaid Services.

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