Determination of Tripler Army Medical Center Outpatient Service and Ambulatory Procedure Charges to the Veterans Administration for Fiscal Year 2000.

摘要

The objective of this study was to determine Tripler Army Medical Center outpatient service and ambulatory procedure visit (APV) charges to the Veterans Administration for fiscal year 2000. First, relevant Medical Expense and Personnel System (MEPRS) cost was defined and a relevant MEPRS rate was calculated for each outpatient service cost center and APV category. Second, fiscal year 1999 utilization and associated cost of VA utilization of TAMC services was calculated. Third, relevant MEPRS cost was selected as a basis for billing for most fiscal year 2000 charges. Finally, a sensitivity analysis was developed comparing relevant MEPRS cost to increasingly steep discounts of the federally published Interagency Rate Reimbursement Schedule. The sensitivity analysis revealed a $ 1,841 overall decrease in charges to the VA based on fiscal year 1999 billed utilization and proposed fiscal year 2000 rates.