Use this procedure for the LTCH Inpatient Medicare Calculator.
Procedure
- Access the LTCH Inpatient Calculator page.
- Select Go To > Government Payor Research > Medicare > Inpatient Calculator. The Medicare Inpatient Calculator Selection page opens.
Note: If your facility offers only one type of Medicare inpatient services, the system bypasses this selection page.
- Select LTCH from the Type of PPS list and click Next. The Inpatient Medicare Calculator (LTCH) page opens.
- Select Go To > Government Payor Research > Medicare > Inpatient Calculator. The Medicare Inpatient Calculator Selection page opens.
- Specify the calculation criteria and optional values. For more information about each calculation criteria, refer to the Field Descriptions table below.
Note: All patient identification information is required.
- Click Calculate PPS. The Inpatient Medicare Calculator (LTCH) results page opens. For more information, refer to View the LTCH Medicare Inpatient Calculator Results.
Field Descriptions
The following table describes each of the fields on the Medicare Inpatient Calculator (LTCH) page.
|
Field |
Description |
|
Bill type |
|
|
Billed Charges |
Total charges for the account |
|
Condition Codes |
Codes describing the patient’s condition |
|
Discharge Date |
Date patient was discharged; defaults to the current system date. If you enter a specific discharge date, the results are displayed for the closest date available (from data within the system). |
|
Patient’s destination upon discharge (home, LTC, and so on) |
|
|
DRG |
Diagnosis Related Group code |
|
Length of stay |
Length of stay, in days |
|
Non-Covered Charges |
The amount of non-covered charges (not disallowed charges) |
|
Provider Number/NPI |
Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims |