Capitation Analysis Report

With the Capitation Analysis Report function, you can print a report that provides an overview of how profitable your capitated plans are.

It is very important to have a separate capitated account set up for each capitated plan to obtain accurate information on this report. You must also have your payment code table set up to properly identify insurance co-payments. For more information see the Capitation Setup Process under Introduction, System Processes.

Data Field Information
Prompt Response Req Len
From Capitated Plan Type the code you want to begin with, select from the list, or leave the field blank to start with the first code in the table.   5
Through Capitated Plan Type the code you want to end with, select from the list, or leave the field blank to end with the last code in the table.   5
From Doctor Code Type the code you want to begin with or leave the field blank to start with the first code in the table.   4
Through Doctor Code Type the code you want to end with or leave the field blank to end with the last code in the table.   4
From Month Type the month you want the report to start with in MM-YYYY format. 10
Through Month Type the month you want the report to end with in MM-YYYY format. 10
Patient Detail If you want to include the patient's account number on the report, select this check box.   1

Sample Report
The report is sorted by the primary doctor, then sub-sorted by performing doctor and lists total amount of capitated charges billed out during the period, the fee for service charges, if any, capitated payments received, fee for service payments received, capitated adjustments, patient co-pays, and the number of patients seen. The report prints sub-totals for each primary physician and totals for each capitated plan. If you selected to include patient detail, the account number and procedure codes print on the report.