HomeMy WebLinkAboutMINUTES - 11071989 - 1.66 o.
G 1®666
AIC BOARD OF SLIPEORVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on November 7 , 1989 , by the following vote:
AYES: Supervisors Powers , Fanden, mc"Peak, Torlakson
NOES: None
ABSENT: Supervisor Schroder
ABSTAIN: None
RESOLUTION NO . 89/723
SUBJECT:
Amending Itemized Professional and Service Rate Charges for
Contra Costa County Health Services Effective November 1, 1989
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 89/451 effective
July 1, 1989 .
The County Administrator has reviewed the recommended amendment and also
recommends that the previous rates and amended rates become effective
November 1, 1989 .
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 November 1, 1989 is
established as follows:
Service Daily Rate*
Medical Ward $ 430 N/C
Nursery Bassinet $ 250 N/C
Intensive Care $1,005 N/C
Mental Health $ 540 N/C
Rehabilitation $ 575 NIC
*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*
Routine delivery 35075 N/C
Routine delivery with tubal ligation 4,135 N/C
Prior or primary C-Section 6,465 N/C
*Services included:
1 . Medical/Social Intake and orientation with Medical Social Worker
2. Choice of Family Practice Physician
a. all required lab nrk
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
Orig. Deptk. One PHN home visit
cc: 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
(31)BOS
RESOLUTION NO. 89/'723
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ANCILLARY SERVICES
DEPARTMENT BILLING UNIT CHARGE
Anesthesiology 15-Minute Intervals $ 50.00 N/C
Pharmacy Cost Plus % Cost plus 60% N/C
Central Supply Cost Plus % Cost plus 400% N/C
Central Supply (Service Units) RVS $ 15.00 N/C
Radiology Relative Value Units 23.00 N/C
EKG Relative Value Units 8.75 N/C
laboratory .(Hospital & P.H. Lab) Relative Value Units 2.05 N/C
Rehab. Therapy
OT/PT 30-minute Intervals $ 67.00 N/C
Speech 30-minute Intervals $ 67.00 N/C
Cardiopulmonary Relative Value Units $ 8.50 N/C
Delivery Room 15-minute Intervals $ 60.00 N/C
Surgery Recovery 1st Hour $ 220.00 N/C
Each add' l 15 Minutes $ 50.00 N/C
Operating Room Each 15 Minutes $ 80.00 N/C
Cast Room Unit $ 80.00 N/C
PROFESSIONAL COMPONENT
CHARGES PER RELATIVE VALUE UNIT BASED UPON
THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES
CHARGE
Medicine $ 6.50 N/C
Surgery $ 161 .00 N/C
Radiology $ 7.00 N/C
Anesthesiology $ 32 .00 N/C
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 $29 .00 $ 63.00 N/C
Limited 44.00 29 .00 73.00 N/C
Intermediate 60.00 29 .00 89 .00 N/C
Extended 77.00 29 .00 106.00 N/C
Comprehensive 100.00 29 .00 129 .00 N/C
(31)BOS1
RESOLUTION NO . 89/723
'y .l
a
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CHARGE
Use of
Professional Treatment
Outpatient Visits Component Room Total
Established
Minimal $ 14.00 $ 29.00 $ 43.00 N/C
Brief 20.00 29.00 49.00 N/C
Limited 30.00 29.00 59.00 N/C
Intermediate 37 .00 29 .00 66.00 N/C
Extended 50.00 29.00 79 .00 N/C
Comprehensive 74.00 29 .00 103.00 N/C
Dental Care Per Fee Schedule
Emergency Room Visits
New Patient
Brief $ 35.00 $ 40.00 $ 75 .00 N/C
Limited 46.00 40.00 86.00 N/C
Intermediate 74.00 40.00 114.00 N/C
Extended 97.00 40.00 137 .00 N/C
Comp Admit HX & PX 120.00 40.00 160.00 N/C
Established
Minimal 20.00 40.00 60.00 N/C
Brief 25.00 40.00 65.00 N/C
Limited 37 .00 40.00 77.00 N/C
Intermediate 59 .00 40.00 99.00 N/C
Extended 84.00 40.00 124.00 N/C
Comp Admit HX & PX 100.00 40.00 140.00 N/C
MENTAL HEALTH/DETOX/ALCOHOL PROGRAM SERVICES
UNIT OF SERVICE CHARGE
Collateral Visit $ 83.00 N/C
Assessment Visit 149 .00 N/C
Individual Visit 110.00 N/C
Group Visit 75.00
Medication Visit 96.00
Crisis Visit 280.00 N/C
Day Care, Intensive Visit 136.00 N/C
Day Care, Habilitative Visit 83.00 N/C
Case Management Staff Hour 64.00
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 10.00 N/C
Readmitted Patient (days 1-12) Visit 10.00 N/C
Physician Re-examination Visit 19 .00 N/C
DUI Alcohol Program
1st Offender (Level II ) Person $ 475.00 N/C
2nd Offender Person 1,175.00 N/C
HOME HEALTH AGENCY
SERVICE UNIT OF SERVICE CHARGE
Skilled Nursing Visit $ 96.50 N/C
Physical Therapy Visit 92.00 N/C
Speech Pathology Visit 102.00 N/C
Occupational Therapy Visit 96.50 N/C
Medical Social Service Visit 140.00 N/C
Home Health Aide Hour 39.00 N/C
RESOLUTION NOS 89/723
•, . -A
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PUBLIC HEALTH
PROGRAM FEE
Family Planning
Pregnancy Test $11 .00 N/C
Non Eligible 80.00 New membership - first year N/C
Non Eligible 75 .00 Annual membership renewal N/C
Male visits and supplies 8.00 N/C
Child Screening
$ 2.50 Children up to 2 years of age N/C
under 200% of poverty
10.00 Children up to 2 years of age N/C
over 200% of poverty
10.00 Children between 2 qnd 12 years N/C
of age under 200% of poverty
15.00 Children between 2 and 12 years N/C
of age over 200% of poverty
12.50 12 years of age and older under N/C
200% of poverty
20.00 12 years of age and older over N/C
200% of poverty
20.00 Sports physicals and new grade N/C
school PX
Immunization
a. Typhoid $10.00 Each N/C
b. Stamping of International
Travel Cards 3.00 Each N/C
T.B. Skin Testing
(P.P.D. ) $ 5.00 Includes reading but no charge N/C
for contacts
Venereal Disease $20.00 Medication for sexually N/C
transmitted diseases
20.00 V.D. Clinic attendance for any N/C
sexually transmitted disease
Nutrition Services $18.00 Per hour consultation fee N/C
Lab Tests
Gardnerella culture $19.50 Each N/C
Yeast culture NO CHARGE ***
Quantitative VDRL 6.50 Each N/C
Qualitative VDRL 6.00 Each N/C
MHATP 20.50 Each N/C
Saline wet mount 16.00 Each N/C
KOH wet mount 16.00 Each N/C
Gram stain 16.00 Each N/C
Darkfield 26.00 Each N/C
Beta lactamese screen 12.50 Each N/C
Screen 1 organism 19.50 3 standard PTV N/C
Chlamydia Culture - Iso 18.00 8 standard PTV N/C
Chlamydia direct 13.50 8 standard PTV N/C
KOH fungus 16.00 5 standard PTV N/C
Herpes direct 18.50 9 standard PTV N/C
Herpes Iso 28.50 13 standard PTV N/C
Treponema MHA-TP 20.50 4 standard PTV N/C
BOS4
) ESOLUTION N0; 89/723
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Lab Tests (continued)
Hepatitis panel
B. surface antibody 16.50 Each N/C
B. core antibody 18.50 Each N/C
B. surface antigen 18.00 Each N/C
I gm. anti A 17.50 Each N/C
E Antigen 18.00 Each N/C
E Antibody 18.00 Each N/C
Routine culture - aerobic 47.00 Each N/C
General culture - anaerobic 47.50 Each N/C
Elderly Flu Shots Voluntary Contributions
*** done in conjunction with Gardnerella culture
WAIVER. The Health Officer may waive any of these fees in any individual case
in which he determines that the advancement and protection of the public health
will be better served thereby and that these considerations outweigh the County
financial interests in collecting the fee.
I hereby certify that this is a true and correct Copy of
an action taken and entered on the minutes of the
Board of Supenrlsors on tF%-dal 1989
ATTESTED: NO
PHIL BATCHELOR,Clerk of the Board
of&Vwvwm and Cou�ntyy Administrator
Deputy
Orig: County Administrator
cc: Health Services Director
County Counsel
County Auditor
County Probation Officer
.�E$QLUTIQN N,Qc 89%7,23
(31)BOS5