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Variable: CLM_SITE_NTRL_PYMT_IPPS_AMT

Claim Site Neutral Payment Based on Inpatient Prospective Payment System (IPPS) Amounts

Description

Under the Long Term Care Hospital (LTCH) prospective payment system (PPS), the payment amount based on the inpatient prospective payment system (IPPS) comparable amount. This amount does not include any applicable outlier payment amount.

Comment

Applies only to Inpatient (LTCH) claims. This field is new in October 2015. For a LTCH PPS claim, only one of four fields will be populated (CLM_SITE_NTRL_PYMT_CST_AMT, CLM_SITE_NTRL_PYMT_IPPS_AMT, CLM_FULL_STD_PYMT_AMT, or CLM_SS_OUTLIER_STD_PYMT_AMT) as they are mutually exclusive (i.e., only one of the 4 fields will have a non-zero value). The field with the non-zero value is included in the Claim Payment Amount field.

Values

n/a

Other Info

Some additional information on this variable:

  • Short Name: CLM_SITE_NTRL_PYMT_IPPS_AMT
  • Long Name: CLM_SITE_NTRL_PYMT_IPPS_AMT
  • Type: NUM
  • Length: 12
  • Source: NCH
  • Value Format: XXX.XX

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