60RRBH21R0011 Attachment J.32 Cash Collections Worksheet.xlsx
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- Solicitation 60RRBH21R0011 - RRB Specialty MAC
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- 60RRBH21R0011
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Railroad Retirement Board
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Allowance
| Contractor Name: | LEGEND | Exhibit 1 | |||||||||
| Warning: There could be an issue but there may not be. | |||||||||||
| Period Ending: | Issue: There is an issue such as missing data that needs to be resolved. | ||||||||||
| This cell requires manual input | |||||||||||
| Allowance for Uncollectible Accounts Matrix | |||||||||||
| NONFEDERAL-HI-MSP-CM-Registers-TOTAL | NONFEDERAL-HI-NONMSP-CM-Registers-TOTAL | NONFEDERAL-SMI-MSP-CM-Registers-TOTAL | NONFEDERAL-SMI-NONMSP-CM-Registers-TOTAL | NONFEDERAL-GEN-MSP-CM-Registers-TOTAL | NONFEDERAL-GEN-NONMSP-CM-Registers-TOTAL | NONFEDERAL-NA-NA-CM-TROR-TOTAL | |||||
| Col E | Col F | Col G | Col H | Col I | Col J | ||||||
| HI Principal | HI Principal | SMI Principal | SMI Principal | General Fund | General Fund | Fund | TROR | ||||
| Note: Amounts are from the TROR Supporting Reports | MSP | NON-MSP | MSP | NON-MSP | MSP | NON-MSP | Total | Report | Check | ||
| TROR Line Item | HIGLAS Detail Activity Report/Register Line | ||||||||||
| A | (1) Beginning FY Balance | CMS Beginning Balance Report / (1) Beginning FY Balance | 0 | 0 | 71 | 7,471,680 | 39 | 156,949 | 7,628,739 | 7,628,738 | 1 |
| (2) New Receivables (+) | CMS Transaction Register / LINE 2 NEW RECEIVABLES | 0 | 0 | 0 | 12,715,571 | 0 | 0 | 12,715,571 | 12,715,571 | 0 |
| (3) Accruals (+) (New Interest Receivables) | 2 | 180,186 | 180,188 | 180,188 | 0 | ||||||
| Transaction Register (support line 3) | CMS Transaction Register / LINE 3 ADJUSTMENT | 0 | 56,235 | 56,235 | |||||||
| CMS Adjustment Register (support line 3) | CMS Adjustment Register / LINE 3 MSP/NONMSP ADJUSTMENT | 2 | 123,951 | 123,953 | |||||||
| (5) Adjustments | 0 | 0 | 263.000 | (189,677) | 121 | 18,428 | (170,865) | (170,865) | 0 | ||
| (A) Reclassified/Adjusted Amounts (+ or -) | CMS AR Adjustments Register / LINE 5A MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | (538,772) | 0 | (612) | 0 | (539,384) | (539,383) | -1 |
| (B) Adjustments Due to Sale of Assets (+ or -) | CMS AR Adjustments Register / LINE 5B MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| (C) Consolidations (+ or -) | CMS AR Adjustments Register / LINE 5C MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| (D) Forcloser Adjustments (+ or -) | CMS AR Adjustments Register / LINE 5D MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| (E) Written-Off Debts Reinstated for Collections (+) | CMS AR Adjustments Register / LINE 5E MSP/NONMSP ADJUSTMENT | 0 | 0 | 263.000 | 349,095 | 121 | 19,040 | 368,519 | 368,518 | 1 | |
| (6) Amounts Written-Off (-) | 0 | 0 | 0 | (1,036,986) | 0 | (71,781) | (1,108,767) | (1,108,767) | 0 | ||
| (A) Currently Not Collectible (-) | CNC - CMS Adjustment Register / LINE 6A MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | (833,953) | 0 | (71,117) | 0 | (905,070) | (905,070) | 0 |
| (B) Written-Off and Closed Out (-) | CMS AR Adjustments Register / LINE 5E MSP/NONMSP ADJUSTMENT | 0 | 0 | 0 | (203,033) | 0 | (664) | 0 | (203,697) | (203,697) | 0 |
Receivable Available to Be Collected 0 0 334.000 18,960,588 162 283,782 19,244,866 19,244,865 1
| B | (4) Collections on Receivables (-) | CMS AR Applied Collections | 0 | 0 | 263.000 | 10,786,074 | 121 | 70,611 | 10,857,069 | 10,857,069 | 0 |
| (A) At Agency | 0 | 0 | 0 | (10,606,769) | 0 | (43,429) | (10,650,198) | (10,650,198) | 0 | ||
| (B) At Third Party | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| (C) Asset Sales | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| (D) Collections by Treasury through Offset and Cross-Servicing (-) | 0 | 0 | (263) | (179,305) | (121) | (27,182) | (206,871) | (206,870) | -1 | ||
| (E) Collections by Sales After Foreclosure (-) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| (F) Collections by Department of Justice (-) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| (G) Other - must footnote (-) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Collection Percentage n/a n/a 78.74% 56.89% 74.69% 24.88% 56.42% 56.42%
C Allowance Percentage (1-collection %) n/a n/a 21.26% 43.11% 25.31% 75.12% 43.58% 43.58%
| D | Average of Allowance (current instruction require Medicare contractors to use five year historical allowance rate | |||||||
| Average | n/a | n/a | 16.31% | 20.03% | 25.31% | 75.12% | ||
| Current Period: Dec 31, 2010 | n/a | n/a | 21.26% | 43.11% | ||||
| Sep 30, 2010 | 0.00% | 0.00% | 20.00% | 15.00% | ||||
| Sep 30, 2009 | 0.00% | 0.00% | 10.00% | 12.00% | ||||
| Sep 30, 2008 | 0.00% | 0.00% | 14.00% | 10.00% | ||||
| Sep 30, 2007 | n/a | n/a | n/a | n/a |
| E | (7) Ending Balance (TROR/Activity Registers) | CMS AR Overpayments Report | 0 | 0 | 0 | 8,174,514 | 0 | 213,169 | 0 | 8,387,683 | 8,387,795 | 112 |
| Cost Report Settlements | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Claims Accounts Receivable | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Credit Balances | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Other (if cost reports issues included with cost reports) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Physician/Supplier | 0 | 0 | 0 | 8,129,931 | 0 | 213,169 | 8,343,100 | 8,343,100 | 0 | |||
| Beneficiary | 0 | 0 | 0 | 44,583 | 0 | 0 | 44,583 | 44,583 | 0 | |||
| PIP Accrual | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| GHP (Data/non-Data Match) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| MSP Prov/Phys/Supp/Bene | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| MSP Beneficiary (Liability) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Other MSP (Liability) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Check | 0 | 0 | (71) | 0 | -41 | (2) | -114 | -1 | -113 |
(X1) Allowance Amount (Collection Percentage) n/a n/a 0 1,637,216 0 160,128 1,797,344
(X2) Individual Account Analysis-Not Applicable for Carriers (Part B) *************************************** CMS has granted a Waiver for Carriers **************************************
| (X3) | Delinquencies Exceeding 180 Days | CMS AR Overpayment Report where parameter "Allowance Calc(Over 180 Days Delinquent))"=Y | 0 | 0 | 0 | 2,750,314 | 0 | 165,436 | 2,915,750 | 2,915,749 | 1 |
| Cost Report Settlements[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| Claims Accounts Receivable[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| Credit Balances[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| Other (if cost reports issues included with cost reports)[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| Physician/Supplier[180] | 0 | 0 | 0 | 2,749,790 | 0 | 165,436 | 2,915,226 | 2,915,225 | 1 | ||
| Beneficiary[180] | 0 | 0 | 0 | 524 | 0 | 0 | 524 | 524 | - 0 | ||
| PIP Accrual[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| GHP (Data/non-Data Match)[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| MSP Prov/Phys/Supp/Bene[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| MSP Beneficiary (Liability)[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 | ||
| Other MSP (Liability)[180] | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - 0 |
F Estimated Allowance Amount ALLOWANCE USING THE MOST CONSERVATIVE AMOUNT 0 0 0 2,750,314 0 165,436 2,915,750
| Amount Reported on Trial Balance per Allowance Matrix (Using the conservative amount): | ||
| Amount | ||
| HI MSP Allowance Amount | 0 | |
| HI NON-MSP Allowance Amount | 0 | |
| HI Total Allowance | 0 |
Fund Acct# 05961 SGL#131901 SGL# 131901 - Allow For Loss on REC-PRINC - 0
| SMI MSP Allowance Amount | 0 |
| SMI NON-MSP Allowance Amount | (2,750,314) |
| SMI Total Allowance | (2,750,314) |
Fund Acct# 05960 SGL#131901 SGL# 131901 - Allow For Loss on REC-PRINC (2,750,314.00)
| General Fund MSP Allowance | 0 |
| General Fund NON -MSP Allowance | (165,436) |
| General Fund Total Allowance | (165,436) |
Fund Acct# 050720 SGL#134901 SGL# 134901 - Allow For Loss on REC-INT (165,436.00)
Note: HIGLAS Interest is not split between HI/SMI but MSP/non-MSP. Therefore, contractors shall compare the current interest collection percentage vs. the over 180 days delinquent amounts.
NOTES:
| (*) The above amounts are the allowance estimates for loss on receivable for the period-to-date. |
| (**) Therefore, the estimated amounts are the calculated ending balances to be reported on the Summary 2 Trial Balance by SGL account by fund (Ending Balance Column). |
| (***) When Line A1, Receivables Available to be Collected by component is less then or equal to zero (0) the component estimated allowance amount must equal zero (0). |
| (****) When the estimated allowance is greater than the Line 7, Ending Balance (Line E - above by Fund), the reported allowance amount must equal the Line 7, Ending Balance (Line E - above by Fund). |
&"Arial,Bold"RFP # 75FCMC21R0002 &"Arial,Bold"&F Allowance
&A &D
Matrix-B MAC
| Contractor Name: | Exhibit 3 |
| Contractor Number: | |
| Period Ending : |
| 400.14 - Exhibit 14 - Protocol for Estimating Allowance for Uncollectible Accounts |
| Carrier - Group 2 |
| Allowance for Uncollectible Accounts Matrix | ||||||
| Part B (SMI) | ||||||
| Col. A | Col. B | Col. C | Col. D | Col. E | ||
| Sub-Group1 (Non-MSP) Claims A/R, Credit Balance & Other Accounts Receivable | Historical Collection % Total | Individual Account Analysis | Delinquencies Exceeding 180 days total | Estimated Allowance for Uncollectible A/R | Estimated Allowance for Uncollectible A/R (Interest Only) | Justification for amount recorded on Summary 2 Trial Balance |
| NONMSP | $ 1,637,216 | $ - 0 | $ 2,750,314 | $ 2,750,314 | $ 165,436 |
Morgan: CMS:
This Cell(F12) in the old version referenced to the Delinquencies Exceeding 180 Days in the Allowance Tab (cell I69). This was changed to reference cell I83, because the estimated allowance amount could potentially be determined based on the Collection percentage. Row I83 applies the comparison between the available methods and should therefore flow to the Matrix.
Total $ 1,637,216 $ - 0 $ 2,750,314 $ 2,750,314 $ 165,436
| Sub-Group 2 (MSP) Group Health Plan (Data-Match & Non-Data Match), Liability | Historical Collection % Total | Individual Account Analysis | Delinquencies Exceeding 180 days total | Estimated Allowance for Uncollectible A/R | Estimated Allowance for Uncollectible A/R (Interest Only) | Justification for amount recorded on Summary 2 Trial Balance |
| MSP | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Total $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
| Historical Collection % Total | Individual Account Analysis | Delinquencies Exceeding 180 days total | Estimated Allowance for Uncollectible A/R | Estimated Allowance for Uncollectible A/R (Interest Only) | Justification for amount recorded on Summary 2 Trial Balance | |
| Sub-Group 1 (Non-MSP) Claims A/R, Credit Balance & Other Accounts Receivable | $ 1,637,216 | $ - 0 | $ 2,750,314 | $ 2,750,314 |
Morgan: CMS:
| This cell(E22) was mapped to D22 in old version, but changed to E12 in the new version to be consistant with Matrix-FI tab. | $ 165,436 | ||||
| Sub-Group 2 (MSP) Group Health Plan (Data-Match & Non-Data Match), Liability | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
Morgan: CMS:
This Cell(E23) was mapped to D23 in old version but changed to E17 in new version to be consistant with Matrix-FI tab. $ - 0
Total Part B (SMI) $ 1,637,216 $ - 0 $ 2,750,314 $ 2,750,314 $ 165,436
&"Arial,Bold"RFP 60RRBH21R0011 &"Arial,Bold"Attachment J.32 Cash Collections Worksheet Matrix-B MAC
Data
| TROR_Line | NONFEDERAL-GEN-MSP-CM-Registers-TOTAL | NONFEDERAL-GEN-NONMSP-CM-Registers-TOTAL | NONFEDERAL-NA-NA-CM-Registers-TOTAL | NONFEDERAL-NA-NA-CM-TROR-COUNT | NONFEDERAL-NA-NA-CM-TROR-TOTAL | NONFEDERAL-SMI-MSP-CM-Registers-TOTAL | NONFEDERAL-SMI-NONMSP-CM-Registers-TOTAL |
| (1) Beginning FY Balance | 39 | 156949 | 30999 | 7628738 | 71 | 7471680 | |
| (2) New Receivables (+) | 142633 | 12715571 | 12715571 | ||||
| (3) Accruals (+) (New Interest Receivables) | 180188 | ||||||
| (4) Collections on Receivables (-) | -10857069 | ||||||
| (5) Adjustments | 5489 | -170865 | |||||
| (6) Amounts Written-Off (-) | 27374 | -1108768 | |||||
| (7) Ending Balance (TROR/Activity Registers) | 42302 | 8387795 | |||||
| (A) At Agency | -43429 | -10650198 | -10606769 | ||||
| (A) Currently Not Collectible (-) | -71117 | 573 | -905070 | -833953 | |||
| (A) Reclassified/Adjusted Amounts (+ or -) | -612 | -539383 | -538772 | ||||
| (B) Written-Off and Closed Out (-) | -664 | 26801 | -203697 | -203033 | |||
| (D) Collections by Treasury through Offset and Cross-Servicing (-) | -121 | -27182 | -206870 | -263 | -179305 | ||
| (E) Written-Off Debts Reinstated for Collections (+) | 121 | 19040 | 368518 | 263 | 349095 | ||
| Beneficiary | 44583 | 44583 | |||||
| Beneficiary[180] | 524 | 524 | |||||
| CMS Adjustment Register (support line 3) | 2 | 123951 | |||||
| GHP(Data/non-Data Match) | 41 | 112 | 71 | ||||
| GHP(Data/non-Data Match)[180] | 41 | 112 | 71 | ||||
| Physician/Supplier | 213169 | 8343100 | 8129931 | ||||
| Physician/Supplier[180] | 165436 | 2915225 | 2749790 | ||||
| Transaction Register (support line 3) | 56235 |
Changes to calcs
| Tab | Cell Changed | Changed From | Changed to | Change Rationale |
| Matrix-Carrier | F22 | D22 | E12 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total" or "Historical Collection % Total". |
| Matrix-Carrier | E23 | D23 | E17 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total" or "Historical Collection % Total". |
| Matrix-Carrier | F12 | Allowance!I69 | Allowance!I83 | Cell F12 - Estimated Allowance for Uncollectible A/R (Interest Only) – this is referenced to the Delinquencies Exceeding 180 Days in the Allowance Tab (cell I69). This should be referenced into cell I83, because the estimated allowance amount could potentially be determined based on the Collection percentage. Row 83 applies the comparison between the available methods and should therefore flow to the Matrix. |
| Matrix-FI | E22 | D22 | E12 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total", "Individual Account Analysis" or "Historical Collection % Total". |
| Matrix-FI | E23 | D22 | E17 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total", "Individual Account Analysis" or "Historical Collection % Total". |
| Matrix-FI | E41 | D41 | E31 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total", "Individual Account Analysis" or "Historical Collection % Total". |
| Matrix-FI | E42 | D42 | E36 | "Estimated Allowance for Uncollectible A/R" should be most conservative estimate of "Delinquencies Exceeding 180 days total", "Individual Account Analysis" or "Historical Collection % Total". |
| Matrix-Carrier | F12 | Allowance!I69 | Allowance!I83 | Cell F12 - Estimated Allowance for Uncollectible A/R (Interest Only) – this is referenced to the Delinquencies Exceeding 180 Days in the Allowance Tab (cell I69). This should be referenced into cell I83, because the estimated allowance amount could potentially be determined based on the Collection percentage. Row 83 applies the comparison between the available methods and should therefore flow to the Matrix. |
&"Arial,Bold"RFP 60RRBH21R0011 &"Arial,Bold"Attachment J.32 Cash Collections Worksheet Changes to calcs
Request_IDs
| Original Workload | Cust_Class | Report | 12/31/2010 |
| 99998 | NONFEDERAL | AdjLn3rpt | 11337101 |
| 99998 | NONFEDERAL | AdjLn5_6rpt | 11359879 |
| 99998 | NONFEDERAL | AppCollrpt | 11337102 |
| 99998 | NONFEDERAL | AROvrrpt | 11337104 |
| 99998 | NONFEDERAL | AROvrrpt[180] | 11324610 |
| 99998 | NONFEDERAL | BBrpt | 11337098 |
| 99998 | NONFEDERAL | HIGLAS_TROR | 11341019 |
| 99998 | NONFEDERAL | TALn2rpt | 11337099 |
| 99998 | NONFEDERAL | TALn3rpt | 11337100 |
&"Arial,Bold"RFP 60RRBH21R0011 &"Arial,Bold"Attachment J.32 Cash Collections Worksheet Request_IDs
Lookup_Values
| Category | ORG NAME |
| CM | 12/31/2010 |
| ORG | Part B |
| Part | B |
| PM | 11/30/2010 |
| PQ | 9/30/2010 |
| PY | 12/31/2009 |
| WL | 99998 |
HISTORICAL_ALLOWANCES
| HISTORICAL_YEAR | NONFEDERAL-HI-MSP-CM-Registers-TOTAL | NONFEDERAL-HI-NONMSP-CM-Registers-TOTAL | NONFEDERAL-SMI-MSP-CM-Registers-TOTAL | NONFEDERAL-SMI-NONMSP-CM-Registers-TOTAL |
| 2010 | 0.2 | 0.15 | ||
| 2009 | 0.1 | 0.12 | ||
| 2008 | 0.14 | 0.1 |
File details come from the government source that posted it. Updated .