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Net Revenues and Accounts Receivable (Tables)
3 Months Ended
Mar. 31, 2013
Net Revenues and Accounts Receivable [Abstract]  
Net revenues by major payer classification
Net revenues in the Home Health and Hospice segments were derived from all major payer classes and were as follows (in millions):
 
First Quarter
 
2013
 
2012
 
Percentage
Variance
Medicare:
 
 
 
 
 
Home Health
$
193.1

 
$
190.6

 
1.3
 %
Hospice
167.3

 
182.0

 
(8.1
)%
Total Medicare
360.4

 
372.6

 
(3.3
)%
Medicaid and Local Government
18.2

 
19.5

 
(6.1
)%
Commercial Insurance and Other:
 
 
 
 
 
Paid at episodic rates
14.3

 
20.0

 
(28.6
)%
Other
22.7

 
23.6

 
(3.9
)%
Total Commercial Insurance and Other
37.0

 
43.6

 
(15.3
)%
Total net revenues
$
415.6

 
$
435.7

 
(4.6
)%
Accounts receivable attributable to major payer sources of reimbursement
Accounts receivable attributable to major payer sources of reimbursement were as follows (in thousands):
 
March 31, 2013
 
December 31, 2012
Medicare
$
197,273

 
$
192,541

Medicaid and Local Government
31,991

 
31,259

Commercial Insurance and Other
34,279

 
36,057

Gross Accounts Receivable
263,543

 
259,857

Less: Allowance for doubtful accounts
(8,615
)
 
(8,777
)
Net Accounts Receivable
$
254,928

 
$
251,080