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Variable: CLM_NEXT_GNRTN_ACO_IND_CD3

Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code – Post-discharge HH visits

Description

The field identifies the claims that qualify for specific claims processing edits related to benefit enhancement through the Next Generation (NG) Accountable Care Organization (ACO).

Comment

There are 5 of these ACO fields (CLM_NEXT_GNRTN_ACO_IND_CD1 -CLM_NEXT_GNRTN_ACO_IND_CD5).

Values

This variable is coded, and will contain one of the following values.

Values for
Value Description
0 Base record (no enhancements)
1 Population Based Payments (PBP)
2 Telehealth
3 Post Discharge Home Health Visits
4 3-Day SNF Waiver
5 Capitation

Other Info

Some additional information on this variable:

  • Short Name: CLM_NEXT_GNRTN_ACO_IND_CD3
  • Long Name: CLM_NEXT_GNRTN_ACO_IND_CD3
  • Type: CHAR
  • Length: 1
  • Source: NCH
  • Value Format:
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