NAME TYPE LENGTH ------------------------------------- ------ NCH DRG Outlier Approved NUM 12 Payment Amount On an institutional claim, the additional payment amount approved by the Peer Review Organization due to an outlier situation for a beneficiary's stay under the prospective payment system, which has been classified into a specific diagnosis related group. 9.2 DIGITS SIGNED SHORT NAME: OUTLRPMT LONG NAME: NCH_DRG_OUTLIER_APRVD_PMT_AMT DERIVATION: DERIVED FROM: CLM_VAL_CD CLM_VAL_AMT DERIVATION RULES: Based on the presence of value code equal to 17 move the related amount to NCH_DRG_OUTLIER_APRVD_PMT_AMT. SOURCE: NCH QA Process