The total of all claim pass through per diem amounts (rounded to whole dollars) for the stay.
Comments
This field is derived by multiplying the pass thru per diem amount that is present on the last claim record included in the stay times the MEDPAR utilization day count (the sum of the utilization [covered] days reported on the claims that comprise the stay).
Items reimbursed as pass through include capital-related costs, direct medical education costs, kidney acquisition costs for hospitals approved as rtc's, and bad debts (per provider reimbursement manual, part 1, section 2405.2).
This MEDPAR pass thru amount is not included in the MEDPAR Medicare payment amount (i.e., to obtain total payments, the pass thru per diem must be added to the total payment amount — field called PMT_AMT).
This field is derived by multiplying the pass thru per diem amount that is present on the last claim record included in the stay times the MEDPAR utilization day count (the sum of the utilization [covered] days reported on the claims that comprise the stay).
Items reimbursed as pass through include capital-related costs, direct medical education costs, kidney acquisition costs for hospitals approved as rtc's, and bad debts (per provider reimbursement manual, part 1, section 2405.2).
This MEDPAR pass thru amount is not included in the MEDPAR Medicare payment amount (i.e., to obtain total payments, the pass thru per diem must be added to the total payment amount — field called PMT_AMT).
Source: MedPAR (derived)