Payment Source

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

Payment Source

Collected For:

All Records , Optional for HBIPS-2 and HBIPS-3

Definition:

The source of payment for this episode of care.

Suggested Data Collection Question:

What is the patient's source of payment for this episode of care?

Format:

Allowable Values:

1 Source of payment is Medicare.

2 Source of payment is NonMedicare.

Notes for Abstraction:

If Medicare is listed as the primary, secondary, tertiary, or even lower down on the list or payers, select "1".
If the patient has Medicaid only or Medicaid and another insurance type, other than Medicare, select "2". If the patient has Medicaid and Medicare, select "1".
If the patient is an Undocumented Alien or Illegal immigrant select "1". Undocumented Alien: Section 1011 of the Medicare Modernization Act of 2003 allows for reimbursement for services rendered to patients who are: Undocumented or illegal aliens (immigrants), Aliens who have been paroled into a United States port of entry and Mexican citizens permitted to enter the United States on a laser visa.

Suggested Data Sources:

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
Medicare includes, but is not limited to: Medicare Fee for Service (includes DRG or PPS) Black Lung End Stage Renal Disease (ESRD) Railroad Retirement Board (RRB) Medicare Secondary Payer Medicare HMO/Medicare Advantage	None

Payment Source

Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)