Accession Number:

ADA277074

Title:

Outpatient Nonavailability Statement Procedures, Health Services Command Catchment Areas. First Quarter, FY 1994 with Comparisons to Fourth Quarter, FY 1993

Descriptive Note:

Final rept. Jul-Dec 1993

Corporate Author:

ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX

Report Date:

1994-02-11

Pagination or Media Count:

283.0

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 First Quarter Fiscal Year FY 1994. Ambulatory professional services have the OCHAMPUS-assigned procedures associated with each categorys facility- related charges listed in separate groupings. Appendix A summarizes by category of ONAS procedures and catchment area, the First 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 compare the unassigned and assigned catchment areas, inpatient, ambulatory, and total ONAS professional services totals over the Fourth Quarter FY 1993 and First Quarter 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.

Subject Categories:

  • Economics and Cost Analysis
  • Personnel Management and Labor Relations
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE