Outpatient Nonavailability Statement Procedures, Medical Command Catchment Areas, Fourth Quarter Fiscal Year (FY) 1994, With Comparisons To Third Quarter FY 1994, and Full Fiscal Year 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...

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Bibliographic Details
Main Authors: Optenberg, Scott A, Moon, Kathleen A
Format: Report
Language:English
Subjects:
CHAMPUS
COSTS
Economics and Cost Analysis
FACILITIES
GATEWAY TO CARE
HEALTH CARE FACILITIES
HOSPITALIZATIONS
INSURANCE
MANAGEMENT
MEDICAL SERVICES
MEDICAL TREATMENT COSTS
MEDICINE
Medicine and Medical Research
MILITARY MEDICINE
ONAS
OUTPATIENT NONAVAILABILITY STATEMENT
PATIENTS
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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 Fourth Quarter Fiscal Year (FY) 1993 and full year FY 1994. Ambulatory professional services have the CHAMPUS-assigned procedures associated with each category's facility-related charges listed in separate groupings. Appendices A and C summarize by category of ONAS procedures and catchment area, the Fourth Quarter and annual FY costs respectively, 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 (TOP), percentages of TOP to ABS and to AAS, and of TPP to TOP. All claims for unassigned catchment areas are combined into one group and analyzed like a catchment area. Appendices B and D correspondingly show the number of services and patient episodes, and averages of ABS, AAS, and TOP by service and by episode. Appendix E compares the unassigned and assigned catchment areas' inpatient, ambulatory, and total ONAS professional services totals%over the Third and Fourth Quarters FY 1994. All appendices contain summaries combining data for all assigned and unassigned catchment areas.