HomeMy WebLinkAboutMINUTES - 01311989 - 1.49 �. 1-049
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on January 31, 1989 , by the following vote:
AYES: Supervisors Powers, Fanden, Schroder, McPeak, Torlakson.
NOES: None .
ABSENT: None .
ABSTAIN: None .
RESOLUTION NO. 89/74
SUBJECT: Amending Itemized Professional and Service Rate Charges for
Contra Costa County Health Services Effective December 1,
19 88.
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 88/554 effective
August 1, 1988.
The County Administrator has reviewed the recommended amendment and also
recommends that the previous rates and amended rates become effective
December 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 December 1, 1988 is
established as follows:
Service Daily Rate*
Medical Ward $395 N/C
Nursery Bassinet $235 N/C
Intensive Care $950 N/C
Alternate Birth Center $400 N/C
Mental Health $505 N/C
Rehabilitation $450 N/C
*Includes nursing and related services; excludes
ancillaries and professional component. Charge is
generated for each day of hospital stay.
Unit of Service Total Unit Rate
OB Fixed all inclusive*
ABC with M.D. delivery 2,600 N/C
Routine delivery 2,900 N/C
Routine delivery with tubal ligation 3,900 N/C
Prior or primary C-Section 6,100 N/C
*Services included:
1 . Medical/Social Intake and orientation with Medical Social Worker
2. Choice of Family Practice Physician
a. all required lab work
b. all required tests
3. Nutrition Class
4. Early Pregnancy Class
5. Prepared Childbirth Classes
6. Labor and Delivery care, including ABC or C-Section
7. Back-up consultation services for complications of pregnancy,
labor and delivery (does not include transfer and care at high
risk facility if necessary for mother or baby)
Orig. DeW. Neonatal care, including nursery care and pediatric consultation,
cc: if needed
9. One PHN home visit
10. One post-partum check with Family Physician, including birth
control counseling
11 . Three return well -baby visits with Family Physicians
** N/C: No Change
(31)80$ RESOLUTION N0. 89/74
-2-
ANCILLARY SERVICES
DEPARTMENT BILLING UNIT CHARGE
Anesthesiology Minutes $ 31 .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 $ 14.00 N/C
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 N/C
Speech 30-minute Intervals $ 56.00 N/C
Cardiopulmonary Relative Value Units $ 8.00 N/C
Delivery Room 15-minute Intervals $ 57.00 N/C
Surgery Recovery 1st Hour $ 192.00 N/C
Each add' ] 15 Minutes $ 21 .00 N/C
Operating Room Each 15 Minutes $ 74.00 N/C
Cast Room Unit $ 74.00 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 $27.00 $ 61 .00 N/C
Limited 44.00 27.00 71 .00 N/C
Intermediate 60.00 27.00 87.00 N/C
Extended 77.00 27.00 104.00 N/C
Comprehensive 100.00 27.00 127.00 N/C
RESOLUTION. NO. 89/74
(31)BOS1 .
-3-
CHARGE
Use of
Professional Treatment
Outpatient Visits Component Room Total
Established
Minimal $ 14.00 $ 27.00 $ 41 .00 N/C
Brief 20.00 27.00 47.00 N/C
Limited 30.00 27.00 57.00 N/C
Intermediate 37.00 27.00 64.00 N/C
Extended 50.00 27.00 77.00 N/C
Comprehensive 74.00 27.00 101 .00 N/C
Dental Care Per Fee Schedule
Emergency Room Visits
New Patient
Brief $ 35.00 $ 37.50 $ 72.50 N/C
Limited 46.00 37.50 83.50 N/C
Intermediate 74.00 37.50 111 .50 N/C
Established
Minimal 20.00 37.50 57.50 N/C
Brief 25.00 37.50 62.50 N/C
Limited 37.00 37.50 74.50 N/C
Intermediate 59.00 37.50 96.50 N/C
MENTAL HEALTH OUTPATIENT 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 72.00 N/C
Medication Visit 90.00 N/C
Crisis Visit 280.00 N/C
Day Care, Intensive Visit 136.00 N/C
Day Care, Habilitative Visit 83.00 N/C
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 $ 91 .00
Physical Therapy Visit 87.00
Speech Pathology Visit 96.00
Occupational Therapy Visit 91 .00
Medical Social Service Visit 132.00 N/C
Home Health Aide Hour 36.00
Or i g: County Administrator f hereby certify that this is a true and correct copy of
cc: Health Services Director an action tai!en and entered on the minutes of the
County Counsel Board of supervis rs on the date shown.
County Auditor /
Count Probation Officer ATTESTED:
County PHIL BA'i 41 ELOR, CI rk of the Board
of supervisors and County Administrator
** No Change �✓
(31)BO ,DeputY
S2 B y
RESOLUTION NO. 89/74