This amount further adjusts the standard Medicare Payment amount (field called PPS_STD_VAL_PMT_AMT) by applying additional standardization requirements (e.g. sequestration).
Comments
This amount is never used for payments. It is used for comparisons across different regions of the country for the value-based purchasing initiatives and for research. It is a standard Medicare payment amount, without the geographical payment adjustments and some of the other add-on payments that go to the hospitals.
This field is new in October 2014. This field only applies to Inpatient claims.
This amount is never used for payments. It is used for comparisons across different regions of the country for the value-based purchasing initiatives and for research. It is a standard Medicare payment amount, without the geographical payment adjustments and some of the other add-on payments that go to the hospitals.
This field is new in October 2014. This field only applies to Inpatient claims.