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Claim PPS Capital IME Amount

CLM_MDCR_IP_PPS_CPTL_IME_AMT

EFFECTIVE 3/2/92, THE AMOUNT OF THE INDIRECT MEDICAL EDUCATION (IME) (REIMBURSABLE AMOUNT FOR TEACHING HOSPITALS ONLY; AN ADDED AMOUNT PASSED BY CONGRESS TO AUGMENT NORMAL PPS PAYMENTS FOR TEACHING HOSPITALS TO COMPENSATE THEM FOR HIGHER PATIENT COSTS RESULTING FROM MEDICAL EDUCATION PROGRAMS FOR INTERNS AND RESIDENTS) PORTION OF THE PPS PAYMENT FOR CAPITAL. [NCH]

Field Metadata

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

Example 

14.11

Mappings

CCLF
  • CCLF1.CLM_MDCR_IP_PPS_CPTL_IME_AMT
CCW
  • CLM_PPS_CPTL_IME_AMT

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