Outpatient Nonavailability Statement Procedures, Health Services Command Catchment Areas, Fourth Quarter and Fiscal Year 1992 and Full Fiscal Year 1992.
Final rept. Oct 91-Sep 92,
ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX
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This report is one in a series of Gateway Management Analysis Reports and presents detailed cost data for each of fourteen categories of Outpatient Nonavailability Statement ONAS procedures, grouped by inpatient and ambulatory professional services, performed within Army billable medical treatment facility catchment areas during the Fourth Quarter Fiscal Year FY 1992 and the full year FY 1992. Costs and workload factors include total government payments for services TGP, amounts allowed for the services by the fiscal intermediary AAS, amounts billed by the provider for the same services ABS, number of services, corresponding number of patient episodes, percentages of TGP to AAS and to ABS, and averages of all dollar amounts, by service and by episode. For the last quarter of FY 1992 and for FY 1992, Appendices A and C, respectively, summarize by category of ONAS CPT-4 procedures, TGP, AAS, ABS, and the percentages of TGP to AAS and to ABS. Similarly, Appendices B and D present the number of services and episodes, and the averages of TGP, AAS and ABS per service and per episode. Appendices A-D each contain a table for every catchment area i.e., pp. A-1-73, B-1-73 also including a summary combining all catchment areas i.e., pp. A-74-75, B-74-75. Tables E-1 and E-2 in Appendix E analyze changes over time for TGP, number of services and episodes when grouped by inpatientambulatory professional services and their total, and by insideoutside catchment areas and the total of all areas.
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