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Understanding the Contractual Analysis Report

The Contractual Analysis report is a good tool to regularly audit your contracts and contract exception fee schedules. The columns on the report that enables you to compare the contractual amounts, which are maintained in the Contract Libraries of the application, to the actual amounts, which are paid by the payers, as well as the adjustment amounts that are created when charges and payments are posted.

The following is a list of columns, in the order that they display on the Contractual Analysis report:
  • The Diff Allowed Amt (Difference in Allowed Amount)
  • The Act Allowed Amt (Actual Allowed Amount)
  • The Cont Allowed Amt (Contract Allowed Amount)
  • The Diff Pay Amt (Difference in Payment Amount)
  • The Diff TP Pay Amount (Difference between Contract Payment Amount and All Payment Amount)
  • The Act TP Pay Amt (Actual Third Party Payment Amount)
  • The Cont Pay Amt (Contract Payment Amount)
  • The Diff Adj Amt (Difference in Adjustment Amount)
  • The Act Adj Amount (Actual Adjustment Amount)
  • The Cont Adj Amt (Contract Adjustment Amount)
The columns displayed on the report are grouped into three subcategories. These subcategories illustrate a relationship between the columns and a dependency on one another. The three subcategories and the related columns include:
  • Allowed Amounts Subcategory
    • Diff Allowed Amt (Difference in Allowed Amount)
    • Act Allowed Amt (Actual Allowed Amount)
    • Cont Allowed Amt (Contract Allowed Amount)
  • Payment Amounts Subcategory
    • Diff Pay Amt (Difference in Payment Amount)
    • Act TP Pay Amt (Actual Third Party Payment Amount)
    • Cont Pay Amt (Contract Payment Amount)
    • Diff TP Pay Amount(Difference between Contract Payment Amount and All Payment Amount)
  • Adjustment Amounts Subcategory
    • Diff Adj Amt (Difference in Adjustment Amount)
    • Act Adj Amount (Actual Adjustment Amount)
    • Cont Adj Amt (Contract Adjustment Amount)