Tri-Service CHAMPUS Statistical Database Project (TCSDP): Partnership ProviderAudit Report for Fort Leonard Wood MEDDAC, West Point MEDDAC, Fort Bragg MEDDAC and Fort Sill MEDDAC Gateway Catchment Areas for Fiscal Year 1991. Gateway to Care Management Ana

摘要

This report is one of thirteen which analyze services and costs of all providersidentified as part of the Health Services Command CHAMPUS partnership program. Each of two appendices is presented for the Fiscal Year (FY) 1991 by billable medical treatment facility catchment area, Army Occupational code/major specialty code of the partnership provider, provider name, and provider identification number. Appendix A presents for each provider ID: (1) the type of professional service performed (inpatient/ambulatory); (2) the total number of services and visits; (3) the totals of amounts billed, allowed, paid by private insurance; and (4) the total amount paid by the government for partnership claims. Appendix B delineates for each CPT-4 procedure code furnished by the provider: (1) the total amounts billed and allowed; (2) the total government payment; (3) number of services; (4) average government payment per service; (5) number of episodes of care; (6) average government payment per episode; and (7) the percent of services to the total number of services for the provider ID.