tailieunhanh - STATE OF CALIFORNIA COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST_part1

Tham khảo tài liệu 'state of california computation of medi-cal inpatient routine service cost_part1', tài chính - ngân hàng, kế toán - kiểm toán phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | STATE OF CALIFORNIA CONTRACT SCH 4B COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST Provider Name SUTTER MEDICAL CENTER - SACRAMENTO Provider No HSC00108F 1811946734 Fiscal Period Ended DECEMBER 31 2007 SPECIAL CARE UNITS 1. Total Inpatient Routine Cost Sch 8 Line_ Col 27 2. Total Inpatient Days Adj 3. Average Per Diem Cost 4. Medi-Cal Inpatient Days Adj 5. Cost Applicable to Medi-Cal 6. Total Inpatient Routine Cost Sch 8 Line_ Col 27 7. Total Inpatient Days Adj 8. Average Per Diem Cost 9. Medi-Cal Inpatient Days Adj 10. Cost Applicable to Medi-Cal 11. Total Inpatient Routine Cost Sch 8 Line_ Col 27 12. Total Inpatient Days Adj 13. Average Per Diem Cost 14. Medi-Cal Inpatient Days Adj 15. Cost Applicable to Medi-Cal 16. Total Inpatient Routine Cost Sch 8 Line Col 27 17. Total Inpatient Days Adj 18. Average Per Diem Cost 19. Medi-Cal Inpatient Days Adj 20. Cost Applicable to Medi-Cal 21. Total Inpatient Routine Cost Sch 8 Line Col 27 22. Total Inpatient Days Adj 23. Average Per Diem Cost 24. Medi-Cal Inpatient Days Adj 25. Cost Applicable to Medi-Cal 26. Total Inpatient Routine Cost Sch 8 Line Col 27 27. Total Inpatient Days Adj 28. Average Per Diem Cost 29. Medi-Cal Inpatient Days Adj 30. Cost Applicable to Medi-Cal 31. Medi-Cal Routine Cost Sum of Lines 5 10 15 20 25 30 L REPORTED 1 L AUDITED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 To Contract Sch 4 This is trial version STATE OF CALIFORNIA CONTRACTSCH 5 SCHEDULE OF MEDI-CAL ANCILLARY COSTS Provider Name SUTTER MEDICAL CENTER - SACRAMENTO Fiscal Period Ended DECEMBER 31 2007 Provider No HSC00108F 1811946734 TOTAL ANCILLARY COST TOTAL ANCILLARY CHARGES Adjs 27 28 RATIO COST TO CHARGES MEDI-CAL CHARGES Contract Sch 6 MEDI-CAL COST ANCILLARY COST CENTERS Operating Room 51 301 416 395 738 167 33 413 225 4 331 515 Lithotripsy 285 221 2 402