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Variable: CLM_HRR_ADJSTMT_PMT_AMT

Claim Hospital Readmission Reduction (HRR) Adjustment Payment Amount

Description

This field represents the Hospital Readmission Reduction (HRR) Program Payment Amount. The amount is the reduction to the claim for a readmission.

Comment

The ACA (Section 3025) requires CMS to reduce payments to subsection (d) Inpatient Prospective Payment System (IPPS) hospitals with excess readmissions. There is a variable that indicates whether the hospital was excluded from the HRR program (see CLM_HRR_PRTCPNT_IND_CD). This percentage reduction is applied to the base operating DRG amount(defined as the wage-adjusted DRG payment plus new technology add-on payments). Additional information is available on the CMS "Hospital Value-Based Purchasing" website. This amount is based on a percent (CLM_HRR_ADJSTMT_PCT). This initiative began in 4th Quarter of 2012 (i.e., beginning of Federal fiscal year 13). This field was new in 2012, and is null/missing for all previous years.

Values

n/a

Other Info

Some additional information on this variable:

  • Short Name: CLM_HRR_ADJSTMT_PMT_AMT
  • Long Name: CLM_HRR_ADJSTMT_PMT_AMT
  • Type: NUM
  • Length: 12
  • Source: NCH
  • Value Format: XXX.XX (may be a negative value)

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