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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).

Comments

There are 5 of these ACO fields (CLM_NEXT_GNRTN_ACO_IND_CD1 -CLM_NEXT_GNRTN_ACO_IND_CD5).

Source: NCH

CodeCode 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