Claim PPS Old Capital Hold Harmless Amount
CLM_MDCR_IP_PPS_CPTL_HRMLS_AMTEffective 3/2/92, this amount is the hold harmless amount payable for old capital as computed by Pricer for providers with a payment code equal to A. The hold harmless amount for old capital is 100 percent of the reasonable costs of old capital for sole community hospitals, or 85 percent of the reasonable costs associated with old capital for all other hospitals, plus a payment for new capital. [NCH]
Field Metadata
- FHIR Resource
- ExplanationOfBenefit
- FHIRPath
- ExplanationOfBenefit.adjudication.where(category.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' andcode = 'CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT').exists()).amount.value
- Coverage / Claim Type
- Inpatient
- SNF
- Source View
V2_MDCR_CLM_INSTNL- Source Column
CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT- Sources
- FISS
- NCH
- Profiles
- CMS
Example
13.31Mappings
- CCW
CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT