Claim Operating Physician Specialty Code

Updated research request forms and data security approval requirement effective 4/24/23

This variable is contained in the following files:

Home Health Agency (Fee-for-Service) Hospice (Fee-for-Service) Inpatient (Fee-for-Service) Outpatient (Fee-for-Service) Skilled Nursing Facility (Fee-for-Service)

SAS Name

OP_PHYSN_SPCLTY_CD

The code used to identify the CMS specialty code corresponding to the operating physician. The Affordable Care Act (ACA) provides for incentive payments for physicians and non-physician practitioners with specific primary specialty designations. In order to determine if the physician or non-physicians is eligible for the incentive payment, the specialty code, NPI and name must be carried on the claims.

Comments

Source: NCH

Claim Operating Physician Specialty Code Code Book (FFS).txt5.78 KB