Bundled Payment Model Discount Percent

SAS Name
BNDLD_MODEL_DSCNT_PCT

The field used to identify the discount percentage that will be applied to the payment for all the hospitals' DRG over the lifetime of the Bundled Payments for Care Improvement initiative (BPCI, Model 1).

Comments

The hospital must be participating in the Model 1 Bundled Payments for Care Improvement initiative (BPCI) — refer to CARE_IMPRVMT_MODEL_1_CD. The dollar amount of the payment reduction for the service is in the field called BNDLD_ADJSTMT_AMT.

This field comes from the Claim Bundled Model Discount (CLM-BNDLD-MODEL-1-DSCNT-PCT) that is present on the last record included in the stay. R

eference the CMS Center for Medicare & Medicaid Innovation (CMMI: The Innovation Center) webpage for details on the Model 1 bundled payment program.

This field is new in 2012.

Source: NCH