Accession Number:

ADA278891

Title:

Third Party Outpatients Collection Program: Determining Predictors of Payment in Full of Third Party Outpatient Billings

Descriptive Note:

Final rept. Jul 1992-Jul 1993

Corporate Author:

BAYNE-JONES ARMY COMMUNITY HOSPITAL FORT POLK LA

Personal Author(s):

• Metzger, Mark A.

Report Date:

1993-08-01

Pagination or Media Count:

56.0

Abstract:

The purpose of this study was to determine the effects of predictor variables current procedural terminology CPT code, number of CPT codes, third party payer, number of claims, and follow up, on payment in full of third party outpatient billings utilizing multiple discriminant analysis. Results of the study indicate that third party payer and number of claims are significant predictors of payment in full. The major implication of this study is that to maximize payment in full of third party outpatient billings, this facility should ensure that every beneficiary with third party insurance is identified, the beneficiarys insurance carrier is billed, and reimbursement from the third party payer is received. Third Party Collection Program.

Descriptors:

• *OUTPATIENT CLINICS
• *INSURANCE
• *COLLECTION
• DEPARTMENT OF DEFENSE
• FACILITIES
• ALGEBRA
• VARIABLES
• POLITICAL PARTIES
• UTILIZATION
• NUMBERS
• COSTS
• BUDGETS
• PATIENTS
• MEDICAL SERVICES

Subject Categories:

• Administration and Management
• Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE