Care Improvement Model 4 Code

SAS Name
CARE_IMPRVMT_MODEL_4_CD

The code used to identify that the care improvement model is being used for bundling payments.

Comments

This field comes from the Claim Care Improvement Model (CLM- CARE-IMPRVMT-MODEL-4-CD) code that is present on the first claim record included in the stay. If there is no Claim Care Improve Model code on the 1st claim then take the first found code on a the other claims that make up the stay.

This field is new in 2013.

This value is also reflected in the demonstration trailer of the claim.

Source: NCH

Code Code value
64 CLAIM CARE IMPROVEMENT MODEL 4
Null/missing Not Model 4