Claim Other Physician Specialty Code

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This variable is contained in the following files:

Home Health Agency (Fee-for-Service) Hospice (Fee-for-Service) Inpatient (Fee-for-Service) Outpatient (Fee-for-Service) Skilled Nursing Facility (Fee-for-Service)

SAS Name

OT_PHYSN_SPCLTY_CD

The code used to identify the CMS specialty code corresponding to the other physician.

Comments

The Affordable Care Act (ACA) provides for incentive payments for physicians and non-physician practitioners with specific primary specialty designations. In order to determine if the physician or non-physician is eligible for the incentive payment, the specialty code, NPI and name must be carried on the claims.

Source: NCH

Claim Other Physician Specialty Code Code Book (FFS).txt5.78 KB