Hospice Medicare Covered Days

This variable is contained in the following files:

SAS Name

HOS_COV_DAYS

This variable is the count of Medicare covered days in the hospice setting for a given year. This variable equals the sum of the CLM_UTLZTN_DAY_CNT variables on the source claims.

Comments

We consider fully-covered days, days where the beneficiary was liable for coinsurance, and lifetime reserve days to all be Medicare-covered days. Non-covered days, leave of absence days, and the day of discharge or death are not included.

Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics”.

Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series”.

Source: CCW (derived)

Null/missing or 1-XXX.