Reminder: DUA and VRDC access needs to be extended or renewed annually. Read more.
This variable is contained in the following files:
SAS Name
CLM_NEXT_GNRTN_ACO_IND_CD
The field identifies the claims that qualify for specific claims processing edits related to benefit enhancement through the Next Generation (NG) Accountable Care Organization (ACO).
| Code | Code value |
|---|---|
| 0 | Base record (no enhancements) |
| 1 | Population Based Payments (PBP) |
| 2 | Telehealth |
| 3 | Post Discharge Home Health Visits |
| 4 | 3-Day SNF Waiver |
| 5 | Capitation |