HomeMy WebLinkAboutRESOLUTIONS - 12011987 - 87-688 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on December 1 , 1987 , by the following vote:
AYES: Supervisors Powers , Fanden, Schroder , Torlakson, McPe.ak.
NOES: None .
ABSENT: None .
ABSTAIN: None .
RESOLUTION NO . 87/688
SUBJECT: ` Amending Itemized Professional and Service Rate Charges for .
Contra Costa County Health Services Effective September 1, 1987.
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 84/593 effective
August 8, 1984 and Board Resolution Number 86/598 effective August 1,
1986, and Board Resolution Number 87/246 effective April 6, 1987, and Board
Resolution Number 87/592 effective August 1, 1987.
The County Administrator has reviewed the recommended amendment and also
recommends that the previous rates and amended rates become effective
September 1, 1987.
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 September 1, 1987 is
established as follows:
Service Daily Rate*
Medical Ward $360 N/C
Nursery Bassinet $230 N/C
Intensive Care $875 N/C
Alternate Birth Center $375 N/C
Mental Health $460 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•- 21200 N/C
Routine delivery 2,500 N/C
Routine delivery with tubal ligation 3,500 N/C
Prior or primary C-Section 5,500 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
Orig. Dept.: risk facility if necessary for mother or baby)
cc: 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
** N/C: No Change
BOS 5
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Partial Unit of Professional Service Total
Hospitalization Service Component Component Unit Rate
Community Mental Partial Day $15.00 $170.00 $185.00 N/C
Health Center
Observation Unit Partial Day 25.00 350.00 375.00 N/C
Mental Health
ANCILLARY SERVICES
DEPARTMENT BILLING UNIT CHARGE
Anesthesiology Minutes $ 21.00 N/C
Pharmacy Cost Plus % Cost plus 60% N/C
Central Supply Cost Plus % Cost plus 40% N/C
Central Supply (Service Units) RVS $ 13.25 N/C
Radiology Relative Value Units $ 21.20 N/C
EKG Relative Value Units $ 8.50 N/C
Laboratory Relative Value Units $ 1.90 N/C
Rehab. Therapy
OT/PT 30-minute Intervals $ 52.00 N/C
Speech 30-minute Intervals $ 52.00 N/C
Cardiopulmonary Relative Value Units $ 7.24 N/C
Delivery Room 15-minute Intervals $ 53.00 N/C
Surgery Recovery 1st Hour $ 138.00 N/C
Each add' l 15 Minutes $ 15.00 N/C
Operating Room Each 15 Minutes $ 53.00 N/C
Cast Room Unit $ 53.00 N/C
PROFESSIONAL COMPONENT
CHARGES PER RELATIVE VALUE UNIT BASED UPON
THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES
CHARGE
Medicine $ 6.00 N/C
Surgery $ 150.00 N/C
Radiology $ 6.00 N/C
Anesthesiology $ 30.00 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 $31.50 $25.00 $ 56.50 N/C
Brief 40.50 25.00 65.50 N/C
Limited 56.00 25.00 81.00 N/C
Comprehensive 93.00 25.00 118.00 N/C
BOS1 5 RESOLUTION NO . 87/688
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CHARGE
Use of
Professional Treatment
Outpatient Visits Component Room Total
Established
Minimal $ 13.00 $ 25.00 $ 38.00 N/C
Brief 19.00 25.00 44.00 N/C
Limited 28.00 25.00 53.00 N/C
Intermediate 34.50 25.00 59.50 N/C
Extended 46.50 25.00 71.50 N/C
Comprehensive 69.00 25.00 94.00 N/C
Dental Care Per Fee Schedule
Emergency Room Visits
New Patient
Brief $ 32.50 $ 35.00 $ 67.50 N/C
Limited 43.00 35.00 78.00 N/C
Intermediate 69.00 35.00 104.00 N/C
Established
Minimal 19.00 35.00 54.00 N/C
Brief 23.50 35.00 58.50 N/C
Limited 34.50 35.00 69.50 N/C
Intermediate 55.50 35.00 90.50 N/C
BILLING UNIT CHARGE
Medical Detoxification
Services (21-day procedure)
New Patient ( 1st 7 days) Visit $ 15.00 N/C
New Patient (days 8-12) Visit 9.00 N/C
Readmitted Patient (days 1-21) Visit 9.00 N/C
Physician Reexamination Visit 17.00 N/C
MENTAL HEALTH OUTPATIENT SERVICES
UNIT OF SERVICE CHARGE
Collateral Visit $ 81.00 N/C
Assessment Visit 127.00 N/C
Individual Visit 107.00 N/C
Group Visit 70.00 N/C
Medication Visit 84.00 N/C
Crisis Visit 272.00 N/C
Day Care, Intensive Visit 109.00 N/C
Day Care, Habilitative Visit 67.00 N/C
HOME HEALTH AGENCY
SERVICE UNIT OF SERVICE NEW RATE OLD RATE
Skilled Nursing Visit $ 84.00 $ 73.00
Physical Therapy Visit 81.00 70.00
Speech Pathology Visit 87.00 73.00
Occupational Therapy Visit 82.00 73.00
Medical Social Service Visit 126.00 104.00
Home Health Aide Hour 33.0 30.00
THE BOARD FURTHER RESOLVES that Board Resolutions 84/493, 86/598, 87/246
and 87/592 are superseded effective September 1, 1987.
Orig: County Administrator Ihereby certify that this isa.trueand correct COPY of
cc: Health Services Director an action taken and entered on the minutes of the
County Counsel Board of'Supervisore on the date sn.
County Auditor ATTESTED: SEC 11967
County Probation Officer PHIL BATCHELOR, Clerk of the Board
of
Supervisors and County Administrator
By l Deputy
BOS2 5
RESOLUTION NO . 87/688