Claim Pricer Return Code

Reminder: DUA and VRDC access needs to be extended or renewed annually. Read more.

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

CLM_PRCR_RTRN_CD

The code used to identify various prospective payment system (PPS) payment adjustment types. This code identifies the payment return code or the error return code for every claim type calculated by the PRICER tool.

Comments

The payment return code identifies the type of payment calculated by the PRICER software.

Source: NCH

Claim Pricer Return Code Code Book (FFS).txt13.43 KB