NAME:		Claim (Medicare) Payment Amount  


 DESCRIPTION:	The Medicare claim payment amount.  



		For hospital services, this amount does not include 
		the claim pass-through per diem payments made by 
		Medicare.  To obtain the total amount paid by Medicare 
		for the claim, the pass-through amount (which is the 
		daily per diem amount) must be multiplied by the number 
		of Medicare-covered days (i.e., multiply the 
		CLM_PASS_THRU_PER_DIEM_AMT by the CLM_UTLZTN_DAY_CNT), 
		and then added to the claim payment amount (this field). 



		For non-hospital services (SNF, home health, hospice, 
		and hospital outpatient) and for other non-institutional services 
		(Carrier and DME), this variable equals the total 
		actual Medicare payment amount, and pass-through amounts 
		do not apply.  

		For Part B non-institutional services (Carrier and DME), 
		this variable equals the sum of all the line item-level 
		Medicare payments (variable called the LINE_NCH_PMT_AMT).


 
 SHORT NAME: 	PMT_AMT

 LONG NAME: 	CLM_PMT_AMT

 TYPE:		NUM
 
 LENGTH:	12

 SOURCE: 	CWF

 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)