Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Population-Based Payment (PBP)

SAS Name
CLM_NEXT_GNRTN_ACO_IND_CD1

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). 

Comments

There are 5 of these ACO fields (CLM_NEXT_GNRTN_ACO_IND_CD1 - CLM_NEXT_GNRTN_ACO_IND_CD5). 

Source: NCH

Code Code value
Base record (no enhancements)
1 Population Based Payments (PBP)
2 Telehealth
3 Post Discharge Home Health Visits
4 3-Day SNF Waiver
5 Capitation