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This variable is contained in the following files: Inpatient (Fee-for-Service)
Short SAS Name
CLM_SITE_NTRL_PYMT_CST_AMT
SAS Name
CLM_SITE_NTRL_PYMT_CST_AMT

Under the Long Term Care Hospital (LTCH) prospective payment system (PPS), the payment amount based on estimated cost of the case.

Comments

Applies only to Inpatient (LTCH) claims.This field is new in October 2015.

For a LTCH PPS claim, only one of four fields will be populated (CLM_SITE_NTRL_PYMT_CST_AMT, CLM_SITE_NTRL_PYMT_IPPS_AMT, CLM_FULL_STD_PYMT_AMT, or CLM_SS_OUTLIER_STD_PYMT_AMT) as they are mutually exclusive (i.e., only one of the 4 fields will have a non-zero value). The field with the non-zero value is included in the Claim Payment Amount field.

Source: NCH