Variable Name : DSCTND{x} where { x } ranges from 1 to 58
Label :Revenue Center Discount Indicator Code
Effective with Version 'I', for all services subject to Outpatient PPS, this code represents a factor that specifies the amount of any APC discount. The discounting factor is applied to a line item with a service indicator (part of the REV_CNTR_PMT_MTHD_IND_CD) of 'T'. The flag is applicable when more than one significant procedure is performed. **If there is no discounting the factor will be 1.0.**
Effective with Version 'I', for all services subject to Outpatient PPS, this code represents a factor that specifies the amount of any APC discount. The discounting factor is applied to a line item with a service indicator (part of the REV_CNTR_PMT_MTHD_IND_CD) of 'T'. The flag is applicable when more than one significant procedure is performed. **If there is no discounting the factor will be 1.0.**
NOTE1: Beginning with NCH weekly process date
8/18/00, this field will be populated with data.
Claims processed prior to 8/18/00 will contain
spaces in this field.
DB2 ALIAS: REV_DSCNT_IND_CD
SAS ALIAS: DSCNTIND
STANDARD ALIAS: REV_CNTR_DSCNT_IND_CD
SYSTEM ALIAS: LTDSCNT
TITLE ALIAS: REV_CNTR_DSCNT_IND_CD
CODES:
*DISCOUNTING FORMULAS*
1 = 1.0
2 = (1.0+D(U-1))/U
3 = T/U
4 = (1+D)/U
5 = D
6 = TD/U
7 = D(1+D)/U
8 = 2.0/U
SOURCE:
CWF
Variable Name : PCKGND{x} where { x } ranges from 1 to 58
Label :Revenue Center Packaging Indicator Code
Effective with Version 'I', for all services subject to Outpatient PPS, the code used to identify those services that are packaged/ bundled with another service. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field. DB2 ALIAS: REV_PACKG_IND_CD
SAS ALIAS: PACKGIND
STANDARD ALIAS: REV_CNTR_PACKG_IND_CD
SYSTEM ALIAS: LTPACKG
TITLE ALIAS: REV_CNTR_PACKG_IND CODES: 0 = Not packaged 1 = Packaged service (service indicator N) 2 = Packaged as part of partial hospitalization per diem or daily mental health service per diem SOURCE: CWF
Effective with Version 'I', for all services subject to Outpatient PPS, the code used to identify those services that are packaged/ bundled with another service. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field. DB2 ALIAS: REV_PACKG_IND_CD
SAS ALIAS: PACKGIND
STANDARD ALIAS: REV_CNTR_PACKG_IND_CD
SYSTEM ALIAS: LTPACKG
TITLE ALIAS: REV_CNTR_PACKG_IND CODES: 0 = Not packaged 1 = Packaged service (service indicator N) 2 = Packaged as part of partial hospitalization per diem or daily mental health service per diem SOURCE: CWF
Variable Name : PMTTHD{x} where { x } ranges from 1 to 58
Label :Revenue Center Pricing Indicator Code
Effective with Version 'I', the code used to identify if there was a deviation from the standard method of calculating payment amount. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
DB2 ALIAS: REV_PRICNG_IND_CD
SAS ALIAS: PRICNG STANDARD ALIAS: REV_CNTR_PRICNG_IND_CD
SYSTEM ALIAS: LTPRICNG
TITLE ALIAS: REV_CNTR_PRICNG_IND CODES: REFER TO: REV_CNTR_PRICNG_IND_TB IN THE CODES APPENDIX
SOURCE: CWF
Effective with Version 'I', the code used to identify if there was a deviation from the standard method of calculating payment amount. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
DB2 ALIAS: REV_PRICNG_IND_CD
SAS ALIAS: PRICNG STANDARD ALIAS: REV_CNTR_PRICNG_IND_CD
SYSTEM ALIAS: LTPRICNG
TITLE ALIAS: REV_CNTR_PRICNG_IND CODES: REFER TO: REV_CNTR_PRICNG_IND_TB IN THE CODES APPENDIX
SOURCE: CWF
Variable Name : OTAF_1{x} where { x } ranges from 1 to 58
Label :Revenue Center Obligation to Accept As Full (OTAF) Payment
Effective with Version 'I' the code used to indicate that the provider was obligated to accept as full payment the amount received from the primary (or secondary) payer. NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field. DB2 ALIAS: REV_OTAF1_IND_CD
SAS ALIAS: OTAF_1
STANDARD ALIAS: REV_CNTR_OTAF_1_IND_CD
TITLE ALIAS: REV_CNTR_OTAF_1_IND_CD
EDIT-RULES: Y = provider is obligated to accept the payment as payment in full for the service. N or blank = provider is not obligated to accept the payment, or there is no payment by a prior payer.
SOURCE: CWF
Variable Name : OTAF_2{x}where { x } ranges from 1 to 58
Effective with Version 'I' the code used to indicate that the provider was obligated to accept as full payment the amount received from the primary (or secondary) payer. NOTE: Beginning with NCH weekly process date 7/7/00, this field will be populated with data. Claims processed prior to 7/7/00 will contain spaces in this field. DB2 ALIAS: REV_OTAF1_IND_CD
SAS ALIAS: OTAF_1
STANDARD ALIAS: REV_CNTR_OTAF_1_IND_CD
TITLE ALIAS: REV_CNTR_OTAF_1_IND_CD
EDIT-RULES: Y = provider is obligated to accept the payment as payment in full for the service. N or blank = provider is not obligated to accept the payment, or there is no payment by a prior payer.
SOURCE: CWF
Variable Name : OTAF_2{x}where { x } ranges from 1 to 58
Label :Revenue Center Obligation to Accept As Full (OTAF) Payment
***********FIELD NOT POPULATED************* This field was intended to collect information for two payers if Medicare was tertiary. It was discovered that MSP system only deals with one payer so there is no need to have 2 OTAF fields. DB2 ALIAS: REV_OTAF2_IND_CD
SAS ALIAS: OTAF_2
STANDARD ALIAS: REV_CNTR_OTAF_2_IND_CD
TITLE ALIAS: REV_CNTR_OTAF_2_IND_CD
SOURCE: CWF
***********FIELD NOT POPULATED************* This field was intended to collect information for two payers if Medicare was tertiary. It was discovered that MSP system only deals with one payer so there is no need to have 2 OTAF fields. DB2 ALIAS: REV_OTAF2_IND_CD
SAS ALIAS: OTAF_2
STANDARD ALIAS: REV_CNTR_OTAF_2_IND_CD
TITLE ALIAS: REV_CNTR_OTAF_2_IND_CD
SOURCE: CWF
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