Orange County NC Website
Browse       Search
MEMO RMDUM <br /> Page 2 <br /> October 29, 1981 <br /> Commissioner Action <br /> The Health Director and Board of Health recommend: <br /> A. Modification of sliding scale for dental fees to no less than 20% of full <br /> cost (presently it slides to 15%): <br /> B. Establish a $5.00 minimum charge per appointment. <br /> Problem Six Background <br /> During the months of June through August, 1981, a survey of 1,073 patient <br /> visits showed the following breakdown: <br /> % paid by sliding scale <br /> or other source # of patient visits % of patient visits <br /> 15 579 54% <br /> 20 69 6% <br /> 40 50 5% <br /> 60 80 7% <br /> 80 26 2% <br /> 100 49 5% <br /> School Health Fund Paid 156 15% <br /> Insurance Paid, Prison Contract 64 6% <br /> 1,073 100% <br /> The chart, above, shows that the bulk of our patient visits are at the 15% pay <br /> level, followed by those children who qualify for free school lunches and who <br /> are therefore eligible to be paid for entirely by out School Health Fund. <br /> During July, 1981. - September, 1981, the 100% fee level would have generated <br /> $23, 184 in charges. The sliding fee scale deducted $17,714 and therefore the <br /> actual patient charges were $5 ,570. Therefore, we deducted approximately 76% <br /> of our fees by the sliding scale. Of the 24 Johnson funded programs in the <br /> U.S. , we deduct the largest amount by use of a sliding scale. <br /> Our accounts receivable total, since the beginning of program fees on July 1, <br /> 1980, through September, 1981, is $28,327.85, of this $9,714.60 in patient <br /> charges is a technical patient account crediting problem from last fiscal year. <br /> The money did flow into the program in the form of supplies. The Health Directc <br /> has requested the Finance Director to advise on procedures to clear up these <br /> charges. Another $6, 116.60 due the dental program from School Health in FY `81 <br /> '82 will be paid shortly, leaving a balance of $12,496.65 in accounts receivable <br /> Of this, $997.86 is a sliding based scale write-off mistake that will be correct <br /> soon. Of the remaining $11,498.79 accounts receivable, $8,703.79 is Medicaide <br /> due us and $1 ,988 is insurance. Therefore, our entire self pay accounts re- <br /> ceivable after 15 months of operation is $807 . We have exactly followed col- <br /> lection procedures established by John Horner and we predict most of the $807 <br /> will be collected. We have little problem with patient pay and large problems <br /> with Medicaide making timely payments, <br />