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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for Ohio for 2007
26 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 |
16,696,658 |
33.1% |
12.6% |
16,645,694 |
37.5% |
20.7% |
99.7% |
915,838 |
0 |
|
33,254 |
882,584 |
5.3% |
284,097 |
1.7% |
| 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)
|
33,743,752 |
66.9% |
25.4% |
27,733,837 |
62.5% |
34.5% |
82.2% |
5,469,660 |
970,330 |
1,096,129 |
0 |
7,536,119 |
22.3% |
2,597,685 |
7.7% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
50,440,410 |
100.0% |
38.0% |
44,379,531 |
100.0% |
55.2% |
88.0% |
6,385,498 |
970,330 |
1,096,129 |
33,254 |
8,418,703 |
16.7% |
2,881,782 |
5.7% |
| 4. Medicare Non-Managed Care |
13,477,700 |
99.6% |
10.1% |
13,143,457 |
99.7% |
16.3% |
97.5% |
0 |
182,804 |
|
7,495 |
175,309 |
1.3% |
-198,709 |
- 1.5% |
| 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)
|
54,699 |
0.4% |
0.0% |
36,475 |
0.3% |
0.0% |
66.7% |
6,842 |
883 |
0 |
0 |
7,725 |
14.1% |
5,539 |
10.1% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
13,532,399 |
100.0% |
10.2% |
13,179,932 |
100.0% |
16.4% |
97.4% |
6,842 |
183,687 |
0 |
7,495 |
183,034 |
1.4% |
-193,170 |
- 1.4% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
721,408 |
100.0% |
0.5% |
321,354 |
100.0% |
0.4% |
44.5% |
|
|
|
0 |
0 |
0.0% |
422,134 |
58.5% |
| 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) |
721,408 |
100.0% |
0.5% |
321,354 |
100.0% |
0.4% |
44.5% |
|
|
0 |
0 |
0 |
0.0% |
422,134 |
58.5% |
| 10. Private Non-Managed Care |
20,251,012 |
93.8% |
15.2% |
12,723,167 |
94.9% |
15.8% |
62.8% |
|
|
|
0 |
0 |
|
5,409,099 |
26.7% |
| 11a. Private Managed Care (capitated)
|
7,498 |
0.0% |
0.0% |
7,193 |
0.1% |
0.0% |
95.9% |
|
|
0 |
0 |
0 |
0.0% |
383 |
5.1% |
| 11b. Private Managed Care (fee-for-service)
|
1,320,063 |
6.1% |
1.0% |
676,310 |
5.0% |
0.8% |
51.2% |
|
|
0 |
0 |
0 |
0.0% |
472,740 |
35.8% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
21,578,573 |
100.0% |
16.2% |
13,406,670 |
100.0% |
16.7% |
62.1% |
|
|
0 |
0 |
0 |
0.0% |
5,882,222 |
27.3% |
| 13. Self-Pay |
46,622,104 |
100.0% |
35.1% |
9,111,268 |
100.0% |
11.3% |
19.5% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
132,894,894 |
|
100.0% |
80,398,755 |
|
100.0% |
60.5% |
6,392,340 |
1,154,017 |
1,096,129 |
40,749 |
8,601,737 |
6.5% |
8,992,968 |
6.8% |
|
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) |
32,551,752 |
69.8% |
2,873,964 |
6.2% |
data as of: 7/22/2008 3:08:05
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