Bundled Payment Adjustment Amount

SAS Name
BNDLD_ADJSTMT_AMT

This field represents the amount (rounded to whole dollars) the claim was reduced by. This field only applies to providers participating in the CMMI model 1 bundled payment program and the adjustment is calculated off the base operating DRG amount field.

Comments

This field is derived by accumulating the Claim inpatient prospective payment system (IPPS) bundled payment adjustment amount (previously referred to as the Flex Payment 2 Amount field; CLM_ IPPS_FLEX_PMT_2_AMT) that is present on any of the claim records included in the stay.

Reference the CMS Center for Medicare & Medicaid Innovation (CMMI: The Innovation Center) webpage for details on the Model 1 bundled payment program. http://innovation.cms.gov/initiatives/bundled-payments/.

This field is new in 2013.

Source: NCH