Accession Number : ADA303366

Title :   Tri-Service Champus Statistical Database Project (TCSDP). Department of Army Medical Command, CHAMPUS Catastrophic Payments for Fourth Quarter. Fiscal year 1995. Gateway Catchment Areas.

Descriptive Note : Final rept. 1 Jul-30 Sep 95,

Corporate Author : CENTER FOR HEALTHCARE EDUCATION AND STUDIES FORT SAM HOUSTON TX

Personal Author(s) : Optenberg, Scott A. ; Moon, Kathleen A.

PDF Url : ADA303366

Report Date : 28 NOV 1995

Pagination or Media Count : 63

Abstract : This report presents in Appendix A the CHAMPUS Catastrophic Quarterly Payment Reports for the Fourth Quarter Fiscal Year (FY) 1995 for thirty-seven of the Army Gateway catchment areas. Each Payment Report lists Privacy Act protected hospitalization patient cases having CHAMPUS claims totaling more than the catchment area's specific FY 19.95 catastrophic cutoff amount either at the end of the Third Quarter FY 1995 and/or at the end of the Fourth Quarter FY 1995. The difference between the reported and prior quarter's net claim payments equals the catastrophic net payment made for each patient during the quarter. Table 1 at the end of the Summary contains the CHAMPUS Catastrophic Quarterly Payment Schedule, summarizing for each catchment area the catastrophic case cutoff limit, the number of catastrophic cases comprising these Fourth Quarter FY 1995 payment differences, the net claim totals for each of the two quarters, and the payment total between the quarters. (AN)

Descriptors :   *MILITARY MEDICINE, *MEDICAL SERVICES, DATA BASES, COST ANALYSIS, ARMY PERSONNEL, STATISTICAL DATA, FAMILY MEMBERS, DIAGNOSIS(MEDICINE), ACTIVE DUTY, TABLES(DATA), PATIENTS, CATASTROPHIC CONDITIONS, HOSPITALIZATIONS, INSURANCE, RETIREMENT(PERSONNEL).

Subject Categories : Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE