OAR 409-015-0005: Definitions

The following definitions apply to OAR 409-015-0005 through 409-015-0040: (1) “Authority” means the Oregon Health Authority. (2) "Charity care" means the uncollectible value, at the hospital's full established rates, of services provided to financially indigent patients. The uncollectible portion may vary from a very small percentage of the regular charges for some patients, up to 100 percent for other patients. (3) "Health care facility" means a hospital, including any special inpatient care facility, and an ambulatory surgical facility. The following facilities are not covered: (a) Institutions providing only domiciliary care; (b) Infirmaries of state institutions, colleges and universities; (c) Federal facilities; and (d) Long-term care facilities, or hospital-based long-term care service. (4) "Medicare and Medicaid deductions" means the uncollectible differences between the hospital's full established charges for individual services and the rates paid by Medicare or Medicaid for composite services. (5) "Other contractual deductions" means the uncollectible differences between full established charges for individual services and the contractual rates paid by a third-party payer for composite services, usually on a per diem, per discharge or capitation basis. (6) "Provision for bad debts" means the estimated amount of accounts receivable expected to result in credit losses. (7) "Unreimbursed care" means the sum of the provision for bad debts plus charity service, Medicare deductions, Medicaid deductions and contractual deductions.