NAME TYPE LENGTH ------------------------------------- ------ NCH Professional NUM 12 Component Charge Amount Effective with Version H, for inpatient and out- patient claims, the amount of physician and other professional charges covered under Medicare Part B (used for internal CWFMQA editing purposes and other internal processes (e.g. if computing interim payment these charges are deducted)). NOTE: During the Version H conversion this field was populated with data throughout history (back to service year 1991). SHORT NAME: PCCHGAMT LONG NAME: NCH_PROFNL_CMPNT_CHRG_AMT LENGTH: 9.2 SIGNED: Y DERIVATIONS : 1. IF INPATIENT - DERIVED FROM: CLM_VAL_CD Clm_VAL_AMT DERIVATION RULES: Based on the presence of value code 04 or 05 move the related value amount to the NCH_PROFNL_CMPNT_CHRG_AMT. 2. IF OUTPATIENT - DERIVED FROM: REV_CNTR_CD REV_CNTR_TOT_CHRG_AMT DERIVATION RULES (Effective 10/98): Based on the presence of revenue center codes 096X, 097X & 098X move the related total charge amount to NCH_PROFNL_CMPNT_CHRG_AMT. NOTE1: During the Version H conversion, this field was populated with data throughout history BUT the derivation rule applied to the outpatient claim was incomplete (i.e., revenue codes 0972, 0973, 0974 and 0979 were omitted from the calcu- lation). SOURCE: NCH QA Process