Remittance Advice Detail – Acute Inpatient Medicare Accounts

The Remittance Advice Detail page displays inpatient Medicare account information in the tables shown. Acute inpatient accounts are shown differently than other accounts.

Field Descriptions—Acute Inpatient Medicare Accounts

The following table describes the fields on the Remittance Advice Detail page for acute inpatient Medicare accounts (applicable only if FinThrive reprices inpatient Medicare claims for your facility).

Field	Description
Capital DSH	Reimbursement for Disproportionate Share Hospital capital costs
Capital IME	Reimbursement for Indirect Medical Education capital costs
Capital Outlier	Reimbursement for Capital (equipment and facility) costs
Capital Payment	Total Capital adjustment
Cov Charges	Covered charges
Covered Days	Number of covered days
DRG	Diagnosis Related Group code. If the DRG was submitted with a Severity of Illness code, it displays as DRG-Severity Code, for example, 001-2.
DRG Payment	Payment consisting of the DRG weight multiplied by the conversion factor. Includes pass-through amounts
DRG Weight	DRG weight factor established by Medicare for each DRG
Operating DSH	Reimbursement based on Disproportionate Share Hospital operating costs (if applicable)
Operating IME	Reimbursement for Indirect Medical Education operating costs (if applicable)
Operating Outlier	Reimbursement based on operating (nursing, ancillary and support) costs
Payment Code(s)	Used to explain the payment of the account; defined the Remittance Payment Codes table
Reimbursement	Reimbursement type, either expected reimbursement or RA, if applicable (the latest RA is shown if there are multiple RAs)
Remittance Advice Payment Code Definition	Explanation of the remittance payment code used in the Payment Codes column
Total Expected Reimbursement	The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data