Release Notes:
Data Element
Version 2018A
| 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: |
| Length: | 1 |
|---|
| Type: | Alphanumeric |
|---|
| Occurs: | 1 |
|---|
|
|---|
| 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
|
|
|
Payment Source
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
^