| Code | Code value |
|---|---|
|
0
|
Base record (no enhancements)
|
|
1
|
Population Based Payments (PBP)
|
|
2
|
Telehealth
|
|
3
|
Post Discharge Home Health Visits
|
|
4
|
3-Day SNF Waiver
|
|
5
|
Capitation
|
This variable is contained in the following files: Carrier (Fee-for-Service), Home Health Agency (Fee-for-Service), Hospice (Fee-for-Service), Inpatient (Fee-for-Service), Outpatient (Fee-for-Service), Skilled Nursing Facility (Fee-for-Service)
Short SAS Name
CLM_NEXT_GNRTN_ACO_IND_5_CD
SAS Name
CLM_NEXT_GNRTN_ACO_IND_CD5
The field identifies the claims that qualify for specific claims processing edits related to benefit enhancement through the Next Generation (NG) Accountable Care Organization (ACO).
There are 5 of these ACO fields (CLM_NEXT_GNRTN_ACO_IND_CD1 -CLM_NEXT_GNRTN_ACO_IND_CD5).
Source: NCH