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Home My WebLink AboutRESOLUTIONS - 08231988 - 88-554 it� r;�• ,�. , L /� •R 1 050 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on t 23 , 1988 by the following vote: AYES: Supervisors Powers, Fanden, Torlakson, Schroder. NOES: None . ABSENT: C'Super:visor McPeak. ABSTAIN: None . " RESOLUTION NO. 88./554 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective August 1, 1988. The Health Services Department 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 88/62 effective February 1, 1988. The County Administrator has reviewed the recommended amendment and also recommends that the previous rates and. amended rates become effective August 1, 1988. 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 1, 1988 is established as follows : Service Daily Rate* Medical Ward $395 Nursery Bassinet $235 N/C Intensive Care $950 Alternate Birth Center $400 Mental Health $505 . Rehabilitation $450 . *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* ABC with M.D. delivery 2,600 Routine delivery 2,900 Routine delivery with tubal ligation 3,900 Prior or primary C-Section 6,100 *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, Orig. Dept.: if needed cc: g, 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 ** N/C: No Change BOS 5 RESOLUTION NO . 88/554 -2- ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology Minutes $ 31 .00 Pharmacy Cost Plus % Cost plus 60% N/C Central Supply Cost Plus % Cost plus 400% N/C Central Supply (Service Units) RVS $ 14.00 Radiology Relative Value Units 21 .80 N/C EKG Relative Value Units 8.75 N/C Laboratory (Hospital & P.H. Lab) Relative Value Units 1.95 N/C Rehab. Therapy OT/PT 30-minute Intervals $ 56.00 Speech 30-minute Intervals $ 56.00 Cardiopulmonary Relative Value Units $ 8.00 Delivery Room 15-minute Intervals $ 57.00 Surgery Recovery 1st Hour $ 192.00 Each add' l 15 Minutes $ 21 .00 Operating Room Each 15 Minutes $ 74.00 Cast Room Unit $ 74.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE Medicine $ 6.50 Surgery $ 161 .00 Radiology $ 7.00 Anesthesiology $ 32.00 OUTSIDE SERVICES AND SUPPLIES CHARGE Nuclear Medicine Cost Plus 35% N/C EEG Cost Plus 30% N/C Blood Bank Cost Plus 35% N/C Prosthesis Cost Plus 35% N/C Laboratory Cost Plus CHS* N/C *CHS = Collection and Handling of Specimens AMBULATORY CLINIC RATES CHARGE Professional Use of Outpatient Visits Component Treatment Room Total New Patient Brief $34.00 $27.00 $ 61 .00 Limited 44.00 27.00 71 .00 Intermediate 60.00 27 .00 87.00 Extended 77 .00 27.00 104.00 Comprehensive 100.00 27.00 127.00 BOS1 5 RESOLUTION NO . 88/554 + F -3- CHARGE Use of Professional Treatment Outpatient Visits Component Room Total Established Minimal $ 14.00 $ 27.00 $ 41 .00 Brief 20.00 27.00 47.00 Limited 30.00 27.00 57.00 Intermediate 37.00 27 .00 64.00 Extended 50.00 27.00 77.00 Comprehensive 74.00 27.00 101 .00 Dental Care Per Fee Schedule Emergency Room Visits New Patient Brief $ 35.00 $ 37.50 $ 72.50 Limited 46.00 37.50 83.50 Intermediate 74.00 37.50 111 .50 Established Minimal 20.00 37.50 57.50 Brief 25 .00 37.50 62.50 Limited 37.00 37.50 74.50 Intermediate 59 .00 37.50 96.50 MENTAL HEALTH OUTPATIENT SERVICES UNIT OF SERVICE CHARGE Collateral Visit $ 83.00 N/C Assessment Visit 149.00 Individual Visit 110.00 N/C Group Visit 72.00 N/C Medication Visit 90.00 Crisis Visit 280.00 N/C Day Care, Intensive Visit 136.00 Day Care, Habilitative Visit 83.00 Medical Detoxification UNIT OF SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit $15.50 N/C. New Patient (days 8-12) Visit 9.00 N/C Readmitted Patient (days 1-12) Visit 9.00 N/C Physician Re-examination Visit 17.50 N/C HOME HEALTH AGENCY SERVICE UNIT OF SERVICE CHARGE Skilled Nursing Visit $ 88.00 Physical Therapy Visit 86.00 Speech Pathology Visit 91 .00 Occupational Therapy Visit 86.00 Medical Social Service Visit 132.00 Home Health Aide Hour 35.00 Orig: County Administrator Ihereby certify that this iso true and correct copy of cc: Health Services Director an action taken and entered on the minutes of the County Counsel Board of Superv72 � a on the date shown. County Auditor ATTESTEDc _ i . '73L��d County Probation Officer PHIL BATCHELO , Clerk of the Board Ol r*om and County Administrator ** No Change BOS2 5 , Deputy RESOLUTION NO . 88/554