Allowance for Uncollectable Receivables and Refunds

12 Months Ended

Dec. 31, 2011

Allowance for Uncollectable Receivables [Abstract]

Allowance for Uncollectable Receivables and Refunds

Allowance for Uncollectable Receivables and Refunds

The Company maintains an allowance for uncollectable receivables which primarily relates to payor refunds.  Refunds are paid to payors for overpayments on claims, claims paid in error, and claims paid for non-covered services. In some instances, we will recoup payment made to the ancillary service provider if the claim has been fully resolved. Co-payments, deductibles and co-insurance payments can also impact the collectability of claims.  While the Company is able to process a claim and estimate the cash it will receive from the payor for that claim, the presence of co-pays, deductibles and co-insurance payments can affect the ultimate collectability of the claim.  The Company records an allowance against revenue to better estimate collectability.   Provisions for refunds recorded, net against revenue, were approximately $622,000 and $695,000 for the years ended December 31, 2011 and 2010, respectively. The allowance was approximately $237,000 and $363,000 for the years ended December 31, 2011 and 2010, respectively.