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Variable: CLM_VBP_ADJSTMT_PMT_AMT

Claim Value-Based Purchasing Adjustment Payment Amount

Description

This field represents the Hospital Value Based Purchasing (HVBP) Amount. This could be an additional payment on the claim or a reduction, depending on the hospital's performance score.

Comment

This initiative began in 4th Quarter of 2013 (i.e., beginning of Federal fiscal year 14 [FY14]). This field was new in 2013, and is null/missing for all previous years. The HVBP applies only to subsection (d) Inpatient Prospective Payment System (IPPS) hospitals. There is a variable that indicates whether the hospital was excluded from HVBP (see CLM_VBP_PRTCPNT_IND_CD). This amount is based on a VBP adjustment percent (variable called CLM_VBP_ADJSTMT_PCT) that is applied to the base operating DRG amount, depending on the hospital's Total Performance Score (TPS), which is the Value Based Purchasing Score. HVBP is required by the Affordable Care Act (ACA). The percentages change each FY. Additional information is available on the CMS "Hospital Value-Based Purchasing" website.

Values

n/a

Other Info

Some additional information on this variable:

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

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