Paid Hospital Inpatient Prospective Payment System (HIPPS)
Paid Home Health Resource Groups (HHRG)
Prorated Non-RAP Episodes (Claims)
Non-RAP Days
Non-RAP Patients
Prorated Non-RAP Episodes per Patient
Hospital Inpatient Prospective Payment System (HIPPS) Payment
Prospective Payment System (PPS) Subtotal
Passthru Durable Medical Equipment (DME)
Passthru Orthotics & Prosthetics
Primary Payer Payment Amount
Episode (claim) Subtotal
Request for Anticipated Payment (RAP)