The amount field (rounded to whole dollars) that represents the Hospital Readmission Reduction (HRR) Program amount. This is a reduction to the claim for readmissions. This field holds a negative amount.
This field is derived by accumulating the Claim inpatient prospective payment system (IPPS) HRR adjustment amount (previously referred to as the Flex Payment 4 Amount field: CLM_ IPPS_FLEX_PMT_4_AMT) that is present on any of the claim records included in the stay.
For details on the CMS hospital readmission reduction program reference the CMS website: http://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/AcuteInpat…
This field is derived by accumulating the Claim inpatient prospective payment system (IPPS) HRR adjustment amount (previously referred to as the Flex Payment 4 Amount field: CLM_ IPPS_FLEX_PMT_4_AMT) that is present on any of the claim records included in the stay.
This field is new in 2013.
Source: NCH