Hospice Medicare Payments

SAS Name

This variable is the total Medicare payments in the hospice (HOS) setting for the year. The total Medicare payments for hospice are calculated as the sum of the CLM_PMT_AMT for all hospice claims where the CLM_PMT_AMT >= 0.


Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics” (see: http://www.medpac.gov/-documents-/payment-basics).

Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series” (see the list of MLN publications at: http://www.cms.gov/Outreach-andEducation/Medicare-Learning-Network-MLN/MLNProducts/MLN- Publications.html)

Source: CCW (derived)