The portion of the total charges amount (rounded to whole dollars) that is covered by Medicare for the stay.
Comments
This field is derived by calculating the covered charges from all claim records included in the stay (i.e., subtracted the revenue center non-covered charge amount from the revenue center total charge amount for revenue center code = 0001 that is reported on the claims that comprise the stay; sum the results for all claims for the stay).
The exception to this formula is if there exists an erroneous condition relative to revenue center code 0001, the calculation will be made for each revenue enter code included on the claims that comprise the stay with the results summed to create the total.
This field is derived by calculating the covered charges from all claim records included in the stay (i.e., subtracted the revenue center non-covered charge amount from the revenue center total charge amount for revenue center code = 0001 that is reported on the claims that comprise the stay; sum the results for all claims for the stay).
The exception to this formula is if there exists an erroneous condition relative to revenue center code 0001, the calculation will be made for each revenue enter code included on the claims that comprise the stay with the results summed to create the total.
Source: MedPAR (derived)