The code indicating whether the facility is being paid under the prospective payment system (PPS).
Comments
This value is calculated by determining if the condition code is not equal 65 on all the claims included in the stay and the third position of the provider number is numeric, then the value of this field = 2 (PPS); otherwise, the value = 0 (non-PPS.)
This value is calculated by determining if the condition code is not equal 65 on all the claims included in the stay and the third position of the provider number is numeric, then the value of this field = 2 (PPS); otherwise, the value = 0 (non-PPS.)
Source: NCH