Gibson Area Hospital & Health Services (GAHHS) uses the “look-back” method to calculate the “amount generally billed’ (AGB) as required by federal law. The AGB is the maximum amount we will collect from a patient who is eligible for financial assistance under our Financial Assistance policy. The AGB percentage is based on all claims allowed by Medicare and private health insurers over a 12-month period, divided by the associated gross charges for those claims.
For the period of October 1, 2016 through September 30, 2017, GAHHS billed $155,422,931.00 in gross charges to Medicare and to private health insurers, of which $78,377,743.00 in claims were allowed. This makes the AGB 49.6%.
Calculation: $78,377,743.00 divided by $155,422,931.00 equals 49.6%
We Are There to Help
If you have questions or prefer to talk to us over the phone or in person, please call 217-784-2245 to request a callback or appointment. We have specialists at all Central Business Office location.