Claim Other Physician Specialty Code

This variable is contained in the following files:

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

SAS Name

OT_PHYSN_SPCLTY_CD

The code used to identify the CMS specialty code corresponding to the other physician.

Comments

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-physician is eligible for the incentive payment, the specialty code, NPI and name must be carried on the claims.

Source: NCH

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