Variable: CLM_NEXT_GNRTN_ACO_IND_CD5
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code – Capitation
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.
| 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_CD5
- Long Name: CLM_NEXT_GNRTN_ACO_IND_CD5
- Type: CHAR
- Length: 1
- Source: NCH
- Value Format: