Outpatient claims definition
Outpatient claims means, for a given hospital, the sum of outpatient hospital claims accepted by the Department for outpatient services provided to recipients of medical assistance under Title XIX of the Social Security Act for general acute care, psychiatric care, and rehabilitation care, excluding days for individuals eligible for Medicare under Title XVIII of the Social Security Act (Medicaid/Medicare crossover claims), as tabulated from the Department's paid claims data for services occurring during calendar year 2019 as of May 11, 2020.
Examples of Outpatient claims in a sentence
Outpatient claims paid under the Hospital Outpatient Prospective Payment System (H▇▇▇▇).
All Facility Outpatient claims on the date of service where an applicable revenue code is found will be summed to calculate the ED Cost.