Table 9D: Patient Related Revenue
Republic of Palau Data
1 Awardees
| Line | Payer Category | Charges | Collections | |||||
|---|---|---|---|---|---|---|---|---|
| Full Charges This Period (a) $ |
% of Payer | % of Total | Amount Collected This Period (b) $ |
% of Payer | % of Total | % of Charges | ||
| 1. | Medicaid Non-Managed Care | - | - | - | - | - | - | - |
| 2a. | Medicaid Managed Care (capitated) | - | - | - | - | - | - | - |
| 2b. | Medicaid Managed Care (fee-for-service) | - | - | - | - | - | - | - |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | - | - | - | - | - | - | - |
| 4. | Medicare Non-Managed Care | - | - | - | - | - | - | - |
| 5a. | Medicare Managed Care (capitated) | - | - | - | - | - | - | - |
| 5b. | Medicare Managed Care (fee-for-service) | - | - | - | - | - | - | - |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | - | - | - | - | - | - | - |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | - | - | - | - | - | - | - |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | - | - | - | - | - | - | - |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | - | - | - | - | - | - | - |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | - | - | - | - | - | - | - |
| 10. | Private Non-Managed Care | - | - | - | - | - | - | - |
| 11a. | Private Managed Care (capitated) | - | - | - | - | - | - | - |
| 11b. | Private Managed Care (fee-for-service) | - | - | - | - | - | - | - |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | - | - | - | - | - | - | - |
| 13. | Self-Pay | - | - | - | - | - | - | - |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | - | - | - | - | - | - | - |
| Line | Payer Category | Retroactive Settlements, Receipts, and Paybacks(c) | Adjustments | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Collection of Reconciliation /Wraparound Current Year(c1) $ |
Collection of Reconciliation /Wraparound Previous Years(c2) $ |
Collection of Other Payments: P4P, Risk Pools, etc.(c3) $ |
Penalty/ Payback (c4) $ |
Net Retros $ |
Net Retros % of Charges | Adjustments (d) $ |
Adjustments % of Charges | ||
| 1. | Medicaid Non-Managed Care | - | - | - | - | - | - | - | - |
| 2a. | Medicaid Managed Care (capitated) | - | - | - | - | - | - | - | - |
| 2b. | Medicaid Managed Care (fee-for-service) | - | - | - | - | - | - | - | - |
| 3. | Total Medicaid (Sum of Lines 1 + 2a + 2b) | - | - | - | - | - | - | - | - |
| 4. | Medicare Non-Managed Care | - | - | - | - | - | - | - | - |
| 5a. | Medicare Managed Care (capitated) | - | - | - | - | - | - | - | - |
| 5b. | Medicare Managed Care (fee-for-service) | - | - | - | - | - | - | - | - |
| 6. | Total Medicare (Sum of Lines 4 + 5a + 5b) | - | - | - | - | - | - | - | - |
| 7. | Other Public, including Non-Medicaid CHIP, Non-Managed Care | - | - | - | - | - | - | - | - |
| 8a. | Other Public, including Non-Medicaid CHIP, Managed Care (capitated) | - | - | - | - | - | - | - | - |
| 8b. | Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) | - | - | - | - | - | - | - | - |
| 9. | Total Other Public (Sum of Lines 7 + 8a + 8b) | - | - | - | - | - | - | - | - |
| 10. | Private Non-Managed Care | - | - | - | - | - | - | - | - |
| 11a. | Private Managed Care (capitated) | - | - | - | - | - | - | - | - |
| 11b. | Private Managed Care (fee-for-service) | - | - | - | - | - | - | - | - |
| 12. | Total Private (Sum of Lines 10 + 11a + 11b) | - | - | - | - | - | - | - | - |
| 13. | Self-Pay | - | - | - | - | - | - | - | - |
| 14. | TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) | - | - | - | - | - | - | - | - |
| Line | Sliding Fee Discounts (e) $ |
Bad Debt Write-Off (f) $ |
|
|---|---|---|---|
| 13. | Self-Pay | - | - |
Footnotes
'-' Data cannot be calculated or has been suppressed for confidentiality purposes.
Cells that are shaded blue represent data that was not reported or null values.
View Detailed UDS Footnotes
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