This field represents the sequestration reduction amount (rounded to whole dollars).
Comments
This field is derived by accumulating the amount field (CLM-VAL-AMT) found in the value code trailer for value code (CLM-VAL-CD) equal to ‘73’ for any claim records included in the stay.
Starting on April 1, 2013, the Budget Control Act of 2011 reduced Medicare payments to all providers by 2 percent through a mechanism known as sequestration. This reduction applies only to the Medicare payment amount and does not affect beneficiaries’ liability for deductibles or coinsurance. The effects of this reduction are reflected in the Medicare claim payment amount (variable called PMT_AMT).
This field is derived by accumulating the amount field (CLM-VAL-AMT) found in the value code trailer for value code (CLM-VAL-CD) equal to ‘73’ for any claim records included in the stay.
Starting on April 1, 2013, the Budget Control Act of 2011 reduced Medicare payments to all providers by 2 percent through a mechanism known as sequestration. This reduction applies only to the Medicare payment amount and does not affect beneficiaries’ liability for deductibles or coinsurance. The effects of this reduction are reflected in the Medicare claim payment amount (variable called PMT_AMT).
This field is new in 2013.
Source: NCH