Remittance Advice Detail – Rehab Inpatient Medicare Accounts

On the Remittance Advice Detail page, rehab inpatient accounts are shown differently than other accounts.

Field Descriptions—Rehab Inpatient Medicare Accounts

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

Field	Description
CMG	Case Mix Group code
Covered Charges	Covered charges
Covered Days	Number of covered days
Outlier	Reimbursement based on operating (nursing, ancillary and support) costs
Payment	Total expected Medicare reimbursement, minus the outlier cost
Payment Codes	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 Payment Codes	Explanation of the remittance payment codes 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
Weight	CMG weight, which reflects the relative complexity of the rehab patient's care; multiplied by the conversion factor to determine the payment on the case