NAME:      	Operating Disproportionate Share 
		(DSH) Amount

 
 DESCRIPTION:	This is one component of the total amount 
		that is payable on PPS claims, and reflects 
		the DSH (disproportionate share hospital) 
		payments for operating expenses (such as 
		labor) for the claim.



		There are two types of  DSH amounts that may 
		be payable for many PPS claims; the other type 
		of DSH payment is for the DSH capital amount 
		(variable called CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT). 

		Both operating and capital DSH payments are 
		components of the PPS, as well as numerous other 
		factors.


	 
 SHORT NAME: 	DSH_OP

 LONG NAME: 	DSH_OP_CLM_VAL_AMT

 TYPE:		NUM
 
 LENGTH: 	12
 
 SOURCE: 	CCW

 CODE VALUES:	-




 COMMENT: 	Medicare payments are described in detail in a 
		series of Medicare Payment Advisory Commission 
		(MedPAC) documents called “Payment Basics” 
		(see: http://www.medpac.gov/payment_basics.cfm)
 
		Also in the Medicare Learning Network (MLN) 
		“Payment System Fact Sheet Series” 
		(see: http://www.cms.gov/
		Outreach-and-Education/Medicare-Learning-Network-
		MLN/MLNProducts/MLN-Publications.html).



		DERIVATION RULES:  If there is a value code '18' 
		(i.e., in the Value Code File, if the VAL_CD='18') 
		then this dollar amount (VAL_AMT) is used to 
		populate this field."