Claim Final Standard Payment Amount

This variable is contained in the following files:

Original Medicare (Fee-for-Service) Home Health Agency Original Medicare (Fee-for-Service) Inpatient

SAS Name

FINL_STD_AMT

This amount further adjusts the standard Medicare Payment amount (field called PPS_STD_VAL_PYMT_AMT) by applying additional standardization requirements (e.g. sequestration).

Comments

This amount is never used for payments. It is used for comparisons across different regions of the country for the value-based purchasing initiatives and for research. It is a standard Medicare payment amount, without the geographical payment adjustments and some of the other add-on payments that actually go to the hospitals.

This field is new in October 2014. This field only applies to Inpatient claims.

Source: NCH