Position

Element

Name

Type

Requirement

Min

Max

Repeat

TS201

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS201 is the total diagnosis related group (DRG) amount.

TS202

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS202 is the total federal specific amount.

TS203

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS203 is the total hospital specific amount.

TS204

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS204 is the total disproportionate share amount.

TS205

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS205 is the total capital amount.

TS206

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS206 is the total indirect medical education amount.

TS207

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS207 is the total number of outlier days.

TS208

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS208 is the total day outlier amount.

TS209

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS209 is the total cost outlier amount.

TS210

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS210 is the diagnosis related group (DRG) average length of stay.

TS211

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS211 is the total number of discharges.

TS212

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS212 is the total number of cost report days.

TS213

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS213 is the total number of covered days.

TS214

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS214 is total number of non-covered days.

TS215

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS215 is the total Medicare Secondary Payer (MSP) pass- through amount calculated for a non-Medicare payer.

TS216

Quantity

Decimal number (R)

Optional

1

15

1

Numeric value of quantity

TS216 is the average diagnosis-related group (DRG) weight.

TS217

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS217 is the total prospective payment system (PPS) capital, federal-specific portion, diagnosis-related group (DRG) amount.

TS218

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS218 is the total prospective payment system (PPS) capital, hospital-specific portion, diagnosis-related group (DRG) amount.

TS219

Monetary Amount

Decimal number (R)

Optional

1

18

1

Monetary amount

TS219 is the total prospective payment system (PPS) disproportionate share, hospital diagnosis-related group (DRG) amount.