Tri-Service CHAMPUS Statistical Database Project (TCSDP): Outpatient Nonavailability Statement Procedures Health Services Command Catchment Areas Third Quarter, FY 1994 with Comparisons to Second Quarter, FY 1994. Gateway to Care. Management Analysis Series
Abstract
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 Third Quarter Fiscal Year (FY) 1994. Ambulatory 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 Third 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' impatient, ambulatory, and total ONAS professional services totals over the Second and Third Quarters FY 1994. All appendices contain summaries combining data for all assigned and unassigned catchment areas. CHAMPUS; Medical Treatment Costs; Outpatient Nonavailability Statement; ONAS; Gateway To Care.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 09, 1994
- Accession Number
- ADA284210
Entities
People
- Kathleen A. Moon
- Scott A. Optenberg