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Home My WebLink AboutMINUTES - 02091988 - 1.59 I-01:-9 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on February 9 , 1988 , by the following vote: AYES: gupervisors Powers , Fanden, McPea.k , Torlahson, Schroder . NOES: None . ABSENT: None . ABSTAIN: None . RESOLUTION NO . 88/62 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective February 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 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, and Board Resolution Number 87/688 effective September .1, 1987. The County Administrator has reviewed the recommended amendment and also recommends that the previous rates and amended rates become effective February 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 February 1, 1988 is established as follows: ! Service Daily Rate* Medical Ward $370 Nursery Bassinet $235 Intensive Care; $900 Alternate Birth Center $385 Mental Health $470 *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 2,300 Routine delivery 2,600 Routine delivery with tubal ligation 3,600 Prior or primary C-Section 5,700 *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 andiDelivery 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 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 I -2- Partial Unit' of Professional Service Total Hospitalization Service Component Component Unit Rate Community Mental Partial Day $15.50 $175.00 $190.50 Health Center Observation Unit Partial Day 26.00 360.00 386.00 Mental Health ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology Minutes $ 22.00 Pharmacy Cost Plus % Cost plus 60% N/C Central Supply Cost Plus % Cost plus 400% N/C Central Supply (Service Units) RVS $ 13.65 Radiology Relative Value Units $ 21.80 EKG Relative Value Units $ 8.75 Laboratory Relative Value Units $ 1.95 Rehab. Therapy OT/PT 30-minute Intervals $ 53.50 Speech 30-minute Intervals $ 53.50 Cardiopulmonary Relative Value Units $ 7.45 Delivery Room 15-minute Intervals $ 54.50 Surgery Recovery 1st Hour $ 142.00 Each add' l 15 Minutes $ 15.50 Operating Room Each 15 Minutes $ 54.50 Cast Room Unit $ 54.50 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE Medicine $ 6.20 Surgery $ 155.00 Radiology $ 6.20 Anesthesiology $ 31.00 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 j CHARGE Professional Use of Outpatient Visits I Component Treatment Room Total New Patient Brief $32.50 $26.00 $ 58.50 Limited 42.00 26.00 68.00 Intermediate 58.00 26.00 84.00 Comprehensive 96.00 26.00 122.00 i RESOLUTION NO . 88/62 BOS1 5 • -3- CHARGE Use of Professional Treatment Outpatient Visits Component Room Total Established Minimal $ 13.00 $ 26.00 $ 39.00 Brief 19.50 26.00 45.50 Limited 29.00 26.00 55.00 Intermediate 35.50 26.00 61.50 Extended 48.00 26.00 74.00 Comprehensive 71.00 26.00 97.00 Dental Care Per Fee Schedule I Emergency Room Visits New Patient Brief $ 33.50 $ 36.00 $ 69.50 Limited 44.00 36.00 80.00 Intermediate 71.00 36.00 107.00 Established Minimal ! 19.50 36.00 55.50 Brief 24.00 36.00 60.00 Limited 35.50 36.00 71.50 Intermediate 57.00 36.00 93.00 BILLING UNIT CHARGE Medical Detoxification Services (21-day procedure) New Patient (1st 7 days) Visit $ 15.50 New Patient (days 8-12) Visit 9.00 N/C Readmitted Patient (days 1-21) Visit 9.00 N/C Physician Reexamination Visit 17.50 MENTAL HEALTH OUTPATIENT SERVICES UNIT OF SERVICE CHARGE Collateral Visit $ 83.00 Assessment Visit 131.00 Individual Visit 110.00 Group Visit 72.00 Medication Visit 86.50 Crisis Visit 280.00 Day Care, Intensive Visit 112.00 Day Care, Habilitative Visit 69.00 HOME HEALTH AGENCY SERVICE UNIT OF SERVICE CHARGE Skilled Nursing Visit $ 86.50 Physical Therapy Visit 83.00 Speech Pathology Visit 90.00 Occupational Therapy Visit 84.50 Medical Social Service Visit 130.00 Home Health Aide Hour 34:00 Orig: County Administrator cc: Health Services Director Ihereby certify that this lsatrue and correct copy of County Counsel an action taken and entered on the minutes of the County Auditor ! Board of Supervisor�o�nBthe d�a shown. County Probation Officer ATTESTED: C 19y0 PHIL BATCHELOR, Clerk of the Board of Supervisors and County Administrator By. .!/1�1jr� , Deputy BOS2 5 RESOLUTION NO . 88/62