MIA Medicare Inpatient Adjudication
To provide claim-level data related to the adjudication of Medicare inpatient claims
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Numeric value of quantity.
MIA01 is covered days.
Numeric value of quantity.
MIA02 is lifetime reserve days.
Numeric value of quantity.
MIA03 is lifetime psychiatric days.
Monetary amount.
MIA04 is Diagnosis Related Group (DRG) amount.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MIA05 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Monetary amount.
MIA06 is the disproportionate share amount.
Monetary amount.
MIA07 is the Medicare Secondary Payer (MSP) pass-through amount.
Monetary amount.
MIA08 is the total Prospective Payment System (PPS) capital amount.
Monetary amount.
MIA09 is the Prospective Payment System (PPS) capital, federal specific portion, Diagnosis Related Group (DRG) amount.
Monetary amount.
MIA10 is the Prospective Payment System (PPS) capital, hospital specific portion, Diagnosis Related Group (DRG), amount.
Monetary amount.
MIA11 is the Prospective Payment System (PPS) capital, disaproportionate share, hospital Diagnosis Related Group (DRG) amount.
Monetary amount.
MIA12 is the old capital amount.
Monetary amount.
MIA13 is the Prospective Payment System (PPS) capital indirect medical education claim amount.
Monetary amount.
MIA14 is hospital specifc Diagnosis Related Group (DRG) Amount.
Numeric value of quantity.
MIA15 is the cost report days.
Monetary amount.
MIA16 is the federal specific Diagnosis Related Group (DRG) amount.
Monetary amount.
MIA17 is the Prospective Payment System (PPS) Capital Outlier amount.
Monetary amount.
MIA18 is the indirect teaching amount.
Monetary amount.
MIA19 is the professional component amount billed but not payable.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MIA20 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MIA21 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MIA22 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Reference number or identification number as defined for a particular Transaction Set, or as specified by the Reference Number Qualifier.
MIA23 is the Health Care Financing Administration Claim Payment Remark code.
See Code Source 411.
Monetary amount.
MIA24 is the capital exception amount.