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TABLE 9D: PATIENT RELATED REVENUE (Scope of Project Only)
State Summary for South Carolina for 2007
22 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 |
38,670,498 |
82.4% |
26.3% |
33,831,389 |
84.1% |
40.1% |
87.5% |
946,456 |
1,855,946 |
|
15,985 |
2,786,417 |
7.2% |
5,521,355 |
14.3% |
| 2a. Medicaid Managed Care (capitated)
|
4,883,207 |
10.4% |
3.3% |
4,175,586 |
10.4% |
5.0% |
85.5% |
551,290 |
72,706 |
0 |
0 |
623,996 |
12.8% |
688,582 |
14.1% |
| 2b. Medicaid Managed Care (fee-for-service)
|
3,394,006 |
7.2% |
2.3% |
2,197,188 |
5.5% |
2.6% |
64.7% |
64,862 |
79,758 |
9,171 |
0 |
153,791 |
4.5% |
1,107,427 |
32.6% |
| 3. Total Medicaid (Lines 1 +
2a + 2b) |
46,947,711 |
100.0% |
32.0% |
40,204,163 |
100.0% |
47.7% |
85.6% |
1,562,608 |
2,008,410 |
9,171 |
15,985 |
3,564,204 |
7.6% |
7,317,364 |
15.6% |
| 4. Medicare Non-Managed Care |
18,115,201 |
99.0% |
12.3% |
13,932,551 |
98.9% |
16.5% |
76.9% |
180,819 |
292,462 |
|
5,200 |
468,081 |
2.6% |
1,943,051 |
10.7% |
| 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)
|
185,751 |
1.0% |
0.1% |
149,911 |
1.1% |
0.2% |
80.7% |
0 |
0 |
0 |
0 |
0 |
0.0% |
21,565 |
11.6% |
| 6. Total Medicare (Lines 4 +
5a + 5b) |
18,300,952 |
100.0% |
12.5% |
14,082,462 |
100.0% |
16.7% |
76.9% |
180,819 |
292,462 |
0 |
5,200 |
468,081 |
2.6% |
1,964,616 |
10.7% |
| 7. Other Public including Non-Medicaid
CHIP (Non Managed Care) |
797,272 |
100.0% |
0.5% |
500,438 |
100.0% |
0.6% |
62.8% |
|
|
|
0 |
0 |
0.0% |
233,083 |
29.2% |
| 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) |
797,272 |
100.0% |
0.5% |
500,438 |
100.0% |
0.6% |
62.8% |
|
|
0 |
0 |
0 |
0.0% |
233,083 |
29.2% |
| 10. Private Non-Managed Care |
23,716,447 |
96.7% |
16.1% |
14,335,209 |
95.3% |
17.0% |
60.4% |
|
|
|
0 |
0 |
|
6,729,870 |
28.4% |
| 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)
|
797,308 |
3.3% |
0.5% |
699,921 |
4.7% |
0.8% |
87.8% |
|
|
0 |
0 |
0 |
0.0% |
78,228 |
9.8% |
| 12. Total Private (Lines 10
+ 11a + 11b) |
24,513,755 |
100.0% |
16.7% |
15,035,130 |
100.0% |
17.8% |
61.3% |
|
|
0 |
0 |
0 |
0.0% |
6,808,098 |
27.8% |
| 13. Self-Pay |
56,309,869 |
100.0% |
38.3% |
14,465,149 |
100.0% |
17.2% |
25.7% |
|
|
|
|
|
|
|
|
| 14. Total (Lines 3 + 6 + 9 +
12 + 13) |
146,869,559 |
|
100.0% |
84,287,342 |
|
100.0% |
57.4% |
1,743,427 |
2,300,872 |
9,171 |
21,185 |
4,032,285 |
2.7% |
16,323,161 |
11.1% |
|
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) |
33,438,405 |
59.4% |
7,047,557 |
12.5% |
data as of: 7/22/2008 4:11:54
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