Flexible Payment Amount (6th) - renamed to Hospital Acquired Conditions (HAC) Reduction Payment Amount

SAS Name
IPPS_FLEX_PYMT_6_AMT

This field identifies the reduction in payment amount from the IPPS payment for hospitals that rank in the lowest-performing quartile of selected Hospital Acquired Conditions (HAC).

Comments

This field is derived by accumulating the IPPS_FLEX_PYMT_6_AMT) that is present on any of the claim records included in the stay (i.e. the sum of the claim HAC reduction payment amounts reported on the claims that comprise the stay).

This field is new in October 2014. This field only applies to Inpatient claims. Starting in 2015, the MedPAR field is renamed to HAC_RDCTN_PMT_AMT.