Outpatient Nonavailability Statement Procedures, Health Services Command Catchment Areas. Second Quarter, FY 1994 with Comparisons to First Quarter, FY 1994

This report presents detailed cost data for each of fourteen categories of Outpatient Nonavailability Statement (ONAS) CPT-4 procedures, grouped by inpatient and ambulatory professional services, performed within assigned and unassigned Army billable medical treatment facility catchment areas during...

Full description

Saved in:
Bibliographic Details
Main Authors: Optenberg, Scott A, Moon, Kathleen A
Format: Report
Language:English
Subjects:
CHAMPUS
COST ANALYSIS
COSTS
Economics and Cost Analysis
GATEWAY TO CARE
HEALTH
HEALTH CARE FACILITIES
HOSPITALIZATIONS
Information Science
INSURANCE
MANAGEMENT
MEDICAL TREATMENT COST
Medicine and Medical Research
NONAVAILABILITY STATEMENT
OUTPATIENT
PATIENTS
TEST AND EVALUATION
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This report presents detailed cost data for each of fourteen categories of Outpatient Nonavailability Statement (ONAS) CPT-4 procedures, grouped by inpatient and ambulatory professional services, performed within assigned and unassigned Army billable medical treatment facility catchment areas during the Second Quarter Fiscal Year (FY) 1994. Ambulatory's professional services have the OCHAMPUS-assigned procedures associated with each category's facility-related charges listed in separate groupings. Appendix A summarizes by category of ONAS procedures and catchment area, the Second Quarter costs for amounts billed by the provider for ONAS services (ABS), amounts allowed for the services by the fiscal intermediary (AAS), payments made by the patient and other sources (TPP), total government payments for the services (TGP), percentages of TGP to ABS and to AAS, and of TPP to TGP. All claims for unassigned catchment areas are combined into one group and analyzed like a catchment area. Appendix B correspondingly shows the number of services and patient episodes, and averages of ABS, AAS, and TGP by service and by episode. Appendix C compares the unassigned and assigned catchment areas' inpatient, ambulatory, and total ONAS professional services totals over the First and Second Quarter FY 1994. All appendices contain summaries combining data for all assigned and unassigned catchment areas. Gateway to Care Management Analysis Series.