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This variable is contained in the following files:
The type of facility.
|2||Skilled Nursing Facility (SNF)|
|3||Home Health Agency (HHA)|
|4||Religious Non-medical (hospital)|
|7||Clinic services or hospital-based renal dialysis facility|
|8||Ambulatory Surgery Center (ASC) or other special facility (e.g. hospice)|
This field, in combination with the service classification type code (variable called CLM_SRVC_CLSFCTN_TYPE_CD) indicates the “type of bill” for an institutional claim. Many different types of services can be billed on a Part A or Part B institutional claim, and knowing the type of bill helps to distinguish them.
The type of bill is the concatenation of two variables:
Note that sometimes 3 variables are used for “type of bill”, where the 3rd digit is the claim frequency code (CLM_FREQ_CD).
Source: Medicare Advantage Organizations (MAOs)