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Home My WebLink AboutMINUTES - 08141984 - 2.5 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on August 14, 1984 , by the following vote: AYES: Supervisors Powers, Fanden, Schroder, McPeak, Torlakson NOES: None ABSENT: None ABSTAIN: None RESOLUTION NO. 84/493 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective August 8, 1984 The Health Services Department Acting Director has submitted a recommendation to amend the schedule of itemized service rate charges and restate unchanged rates for County Health Services adopted by Board Resolution Number 82/885 effective August 1 , 1982 and Resolution Number 84/41 effective January 17, 1984; The County Administrator has reviewed the recommended amendment and also recommends that the previous rates and amended rates become effective August 8, 1984. These recommendations have been considered by the Board and IT IS BY THE BOARD RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department effective August 8, 1984 is established as follows: Service Daily Rate* Medical Ward $330 Nursery Bassinet $230 Intensive Care $835 Respiratory Care $330 Surgical $330 Alternate Birth Center $350 Mental Health $325 *Includes Nursing and related services; excludes Ancillaries and Professional component. Charge is generated for each day of hospital stay. Unit of Service Total Unit Rate OB Fixed all inclusive* Delivery with midwives 2,000** ABC with M.D. delivery 2,200 Routine delivery 2,500 Routine delivery with tubal ligation 3,500 Prior or primary C-Section 5,500 *Services included: 1 . Medical/Social Intake and orientation with Medical Social Worker 2. Choice of Family Practice Physician a. all required lab work b. all required tests 3. Nutrition Class 4. Early Pregnancy Class 5. Prepared Childbirth Classes 6. Labor and Delivery care, including ABC or C-Section 7. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby) 8. Neonatal care, including nursery care and pediatric consultation, if needed 9. One PHN home visit 10. One post-partum check with Family Physician, including birth control counseling 11 . Three return well-baby visits with Family Physicians **$600 of which to be paid directly to midwife. 00249 RESOLUTION NO. 84/493 -2- Partial Unit of Professional Service Total Hospitalization Service Component Component Unit Rate Community Mental Partial Day $15.00 $170.00 $185.00 Health Center Observation Unit Partial Day 25.00 350.00 375.00 Mental Health ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology Minutes $10.00 Pharmacy Cost plus % Cost plus 60% Central Supply Cost plus % Cost plus 400% Central Supply (Service Units) RVS $12.50 Radiology Relative Value Units $20.00 EKG Relative Value Units $ 8.00 Laboratory Relative Value Units $ 1 .80 Rehab. Therapy OT/PT 30-minute intervals $46.72 Speech 30-minute intervals $27.00 Cardiopulmonary Relative Value Units $ 7.00 Delivery Room Relative Value Units $100.00 Surgery Recovery lst .Hour $130.00 Each add' l 15 minutes $10.00 Operating Room Each 15 minutes $5.0.00 Cast Room Unit $50.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE Medicine $ 5.00 Surgery $140.00 Radiology $ 5.00 Anesthesiology $ 27.00 OUTSIDE SERVICES AND SUPPLIES CHARGE Nuclear Medicine Cost plus 30% EEG Cost plus 25% Blood Bank Cost plus 30% Prosthesis Cost plus 30% Laboratory Cost plus CHS* *CHS = Collection and Handling of Specimens AMBULATORY CLINIC RATES CHARGE Use of Professional Treatment Outpatient Visits Component Room Total New Patient Brief $29.50 $20.00 $49.50 Limited 38.00 20.00 58.00 Intermediate 52.50 20.00 72.50 Comprehensive 87.50 20.00 107.50 RESOLUTION NO. 84/ 493 -3- CHARGE' ; . . . . Use of Professional Treatment Outpatient Visits Component Room Total Established Minimal $12.00 $20.00 $32.00 Brief 17.50 20.00 37.50 .Limited 26.00 20.00 46.00 Intermediate 32.50 20.00 52.50 Extended 43.50 20.00 63.50 Comprehensive 65.00 20.00 85.00 Dental Care Per Fee Schedule Emergency Room Visits New Patient Brief $30.50 $30.00 $60.50 Limited 40.50 30.00 70.50 Intermediate 65.00 30.00 95.00 Established Minimal 17.50 30.00 47.50 Brief 22.00 30.00 52.00 Limited 32.50 30.00 62.50 Intermediate 52.00 30.00 82.00 BILLING UNIT CHARGE Medical Detoxification Services (21-day procedure) New Patient (1st 7 days) Visit $14.00 New Patient (days 8-12) Visit 9.00 Readmitted Patient (days 1-21 ) Visit 9.00 Physician Reexamination Visit 17.00 MENTAL HEALTH OUTPATIENT SERVICES CHARGE Collateral $ 81 .00. Assessment $127.00 Individual $107.00 Group $ 70.00 Medication $ 84.00 Crisis $272.00 THE BOARD FURTHER RESOLVES that Board Resolutions 82/885 and 84/41 are superseded effective August 8, 1984. hereby certify that this Is a true and correctcopyof Ori g: County Administrator an action taken and entered on the minutes of the cc: Acting �Health .Services Director r3oard of Supervisors on the date shown. County Counsel ATTESTED: County Auditor County Probation Officer J.P. O9. SON, COUNTY CLERK and ex officio Clerk of the Boar!i nuty, RESOLUTION NO. 84/493 00251