HomeMy WebLinkAboutRESOLUTIONS - 09291987 - 87-592 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on September 29 , 1987 , by the following vote:
AYES: Supervisors Powers , Fanden , Schroder , Torlakson, McPeak.
NOES: None.
ABSENT: None
ABSTAIN: None . RESOLUTION NO . 87/592
SUBJECT: Amending Itemized Professional and Service Rate Charges for
Contra Costa County Health Services Effective August 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.
The County Administrator has reviewed the recommended amendment and also
recommends that the previous rates and amended rates become effective
August 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 August 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
*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 2,200 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
risk facility if necessary for mother or .baby)
Orig. Dept.. Neonatal care, including nursery care and pediatric consultation,
Or
Orif 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 FamiTy Physicians
NOTE N/C: No Change
BOS 5 RESOLUTION NO . 87/592
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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
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' 1 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
RESOLUTION NO . 87/592
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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 . 6 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
CHARGE
Collateral $ 81.00 N/C
Assessment 127.00 N/C
Individual 107.00 N/C
Group 70.00 N/C
Medication 84.00 N/C
Crisis 272.00 N/C
Day Care, Intensive 109.00
Day Care, Habi1itative 67.00
THE BOARD FURTHER RESOLVES that Board. Resol.utions 84/493, 86/598 and 87/246 are
superseded effective August 1, 1987. .
Orig: County Administrator
cc: Health Services Director Ihereby certify that this isatrue and correct copyof
County Counsel an action taken and entered on the minutes of the
County Auditor Board of Superyors on the date shown.
County Probation Officer /
ATTESTED]
PHIL BATC ELOR, Clerk of the Board
of Supervisors and County Administrator:
f: u
RESOLUTION NO. 87/592
BOS2 5