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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Nebraska for 2007
5 Grantees
| Payor Category |
Full
Charges This Period (a) |
Charges
as Percent of Payor |
Charges
as Percent of Total |
Amount
Collected This Period (b) |
Collections
as Percent of Payor |
Collections
as Percent of Total |
Collections
as Percent of Charges |
Collection
of recon./wrap around Current Year (c1) |
Collection
of recon./wrap around Previous Years
(c2) |
Collection
of other retroactive payments (c3) |
Penalty/Payback
(c4) |
Net
Retros |
Net
Retros as Percent of Charges |
Allowances
(d) |
Allowances
as Percent of Charges |
| 1. Medicaid Non-Managed Care |
6,352,646 |
76.2% |
30.3% |
3,489,940 |
72.2% |
38.6% |
54.9% |
0 |
502,946 |
|
0 |
502,946 |
7.9% |
1,609,767 |
25.3% |
| 2a. Medicaid Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 2b. Medicaid Managed Care (fee-for-service)
|
1,981,449 |
23.8% |
9.4% |
1,340,962 |
27.8% |
14.8% |
67.7% |
0 |
0 |
81,740 |
0 |
81,740 |
4.1% |
682,200 |
34.4% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
8,334,095 |
100.0% |
39.7% |
4,830,902 |
100.0% |
53.4% |
58.0% |
0 |
502,946 |
81,740 |
0 |
584,686 |
7.0% |
2,291,967 |
27.5% |
| 4. Medicare Non-Managed Care |
931,357 |
99.0% |
4.4% |
655,972 |
98.7% |
7.3% |
70.4% |
0 |
19,003 |
|
24,592 |
-5,589 |
- 0.6% |
96,404 |
10.4% |
| 5a. Medicare Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
0 |
0 |
0 |
0 |
0 |
--- |
0 |
--- |
| 5b. Medicare Managed Care (fee-for-service)
|
9,261 |
1.0% |
0.0% |
8,553 |
1.3% |
0.1% |
92.4% |
0 |
0 |
0 |
0 |
0 |
0.0% |
208 |
2.2% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
940,618 |
100.0% |
4.5% |
664,525 |
100.0% |
7.3% |
70.6% |
0 |
19,003 |
0 |
24,592 |
-5,589 |
- 0.6% |
96,612 |
10.3% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
161,064 |
100.0% |
0.8% |
104,548 |
100.0% |
1.2% |
64.9% |
|
|
|
0 |
0 |
0.0% |
53,719 |
33.4% |
| 8a. Other Public including Non-Medicaid
CHIP (Managed Care Capitated) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 8b. Other Public including Non-Medicaid
CHIP (Managed Care fee-for-service) |
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 9. Total Other Public (Lines
7 + 8a + 8b) |
161,064 |
100.0% |
0.8% |
104,548 |
100.0% |
1.2% |
64.9% |
|
|
0 |
0 |
0 |
0.0% |
53,719 |
33.4% |
| 10. Private Non-Managed Care |
2,121,487 |
100.0% |
10.1% |
1,210,509 |
100.0% |
13.4% |
57.1% |
|
|
|
0 |
0 |
|
559,679 |
26.4% |
| 11a. Private Managed Care (capitated)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 11b. Private Managed Care (fee-for-service)
|
0 |
0.0% |
0.0% |
0 |
0.0% |
0.0% |
--- |
|
|
0 |
0 |
0 |
--- |
0 |
--- |
| 12. Total Private (Lines 10
+ 11a + 11b) |
2,121,487 |
100.0% |
10.1% |
1,210,509 |
100.0% |
13.4% |
57.1% |
|
|
0 |
0 |
0 |
0.0% |
559,679 |
26.4% |
| 13. Self-Pay |
9,420,526 |
100.0% |
44.9% |
2,231,444 |
100.0% |
24.7% |
23.7% |
|
|
|
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|
|
|
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| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
20,977,790 |
|
100.0% |
9,041,928 |
|
100.0% |
43.1% |
0 |
521,949 |
81,740 |
24,592 |
579,097 |
2.8% |
3,001,977 |
14.3% |
|
Sliding
Discounts (e) |
Sliding
Discounts as a Percent of Self-Pay Charges |
Bad Debt Write Off(f) |
Bad Debt as Percent
of Self-Pay Charges |
| 13. Self-Pay (line 14 is same) |
6,218,305 |
66.0% |
939,891 |
10.0% |
data as of: 7/22/2008 3:22:22
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