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Variable: CLM_TOT_PPS_CPTL_AMT

Claim Total PPS Capital Amount

Description

The total amount that is payable for capital for the prospective payment system (PPS) claim.

This is the sum of the capital hospital specific portion, federal specific portion, outlier portion, disproportionate share portion, indirect medical education portion, exception payments, and hold harmless payments.

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).

Other Info

Some additional information on this variable: