Claim Short Stay Outlier (SSO) Standard Payment Amount

This variable is contained in the following files:

Original Medicare (Fee-for-Service) Inpatient Medicare Provider Analysis and Review

SAS Name

CLM_SS_OUTLIER_STD_PYMT_AMT

Under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), the payment amount based on the MS-LTC-DRG payment with short stay outlier (SSO) adjustment.

Comments

This amount does not include any applicable outlier payment amount.

This field is derived by accumulating the amount field (CLM_SSO_STD_PMT_AMT) that is on any of the claim records included in the stay (i.e., sum of the CLM_SSO_STD_PMT_AMT reported on the claims that comprised the stay).

This field is new in 2015.

Source: NCH