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This variable is contained in the following files:
SAS Name
CLM_FAC_TYPE_CD
The type of facility.
| Code | Code value |
|---|---|
| 1 | Hospital |
| 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)