Variable: CLM_REV_PMT_MTHD_CD
Revenue Center Payment Method Indicator Code
Description:
THE DOMAIN OF CLAIM PAYMENT METHOD CODES.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
| 1 | PAID STANDARD HOSPITAL OPPS AMOUNT (STATUS INDICATORS J1, J2, R, S, T, U, V) |
| 10 | PAID FQHC ENCOUNTER PAYMENT |
| 11 | NOT PAID OR NOT INCLUDED UNDER FQHC ENCOUNTER PAYMENT |
| 12 | NO ADDITIONAL PAYMENT, INCLUDED IN PAYMENT FOR FQHC ENCOUNTER |
| 13 | PAID FQHC ENCOUNTER PAYMENT FOR NEW PATIENT OR IPPE/AWV |
| 14 | GRANDFATHERED TRIBAL FQHC ENCOUNTER PAYMENT |
| 15 | FQHC IOP ENCOUNTER PAYMENT |
| 16 | WRAP-AROUND PAYMENT FOR FQHCS THAT CONTRACT WITH MEDICARE ADVANTAGE (MA) ORGANIZATIONS |
| 2 | SERVICES NOT PAID BY OPPS PRICER; PAID UNDER FEE SCHEDULE OR OTHER PAYMENT SYSTEM (SI, OF A, G, K) |
| 3 | NOT PAID (Q1, Q2, Q3, Q4, M, W, Y, E1, E2), OR NOT PAID UNDER OPPS (B, C, Z) |
| 4 | PAID AT REASONABLE COST (STATUS INDICATOR F, L) |
| 5 | PAID STANDARD AMOUNT FOR PASS-THROUGH DRUG OR BIOLOGICAL (STATUS INDICATOR G) |
| 6 | PAYMENT BASED ON CHARGE ADJUSTED TO COST (STATUS INDICATOR H) |
| 7 | ADDITIONAL PAYMENT FOR NEW DRUG OR NEW BIOLOGICAL (STATUS INDICATOR J) |
| 8 | PAID PARTIAL HOSPITALIZATION OR INTENSIVE OUTPATIENT PROGRAM PER DIEM (STATUS INDICATOR P) |
| 9 | NO ADDITIONAL PAYMENT, PAYMENT INCLUDED IN LINE ITEMS WITH APCS (STATUS INDICATOR N, OR NO HCPCS CODE AND CERTAIN REVENUE CODES, OR HCPCS CODES G0176, G0177, OR G0129) |
| ~ | NO DESCRIPTION AVAILABLE |