REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER PART2 pot

... COST This is trial version www.adultpdf.com REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD, CALIFORNIA PROVIDER NUMBER: HSC30240H NATIONAL PROVIDER IDENTIFIERS: ... examined the provider's Medi-Cal Cost Report for the above-referenced fiscal period. Our examination was made under the authority of Section 14170 of the...

Ngày tải lên: 18/06/2014, 20:20

... SCHEDULE 5 PROGRAM: NONCONTRACT Provider Name: Fiscal Period Ended: CENTINELA HOSPITAL MEDICAL CENTER DECEMBER 31, 2008 Provider No: ZZT30240H RATIO COST TO CHARGES ANCILLARY COST CENTERS 37.00 Operating ... Findings) COMPUTATION OF MEDI-CAL CONTRACT COST This is trial version www.adultpdf.com STATE OF CALIFORNIA CONTRACT SCH 4A Provider Name: Fiscal Period Ended: CENTINELA H...

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... ACCUMULATE TRATIVE & COST BENEFITS COST COST COST COST COST COST COST COST COST GENERAL 4.08 5.00 6.01 6.02 6.03 6.04 6.05 6.06 6.07 6.08 6.00 COMPUTATION OF COST ALLOCATION (W/S B) 0 48,943 0 0 0 0 0 0 0 0 13,482,643 2,319,651 0 0 0 0 0 0 0 0 0 0 0 0 0 25,346 0 0 0 0 0 0 0 0 3,536,622 608,466 0 594 0 0 0 0 0 0 0 0 234,930 40,419 029,265000000004,737,187815,020 08,2750000000...

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... ) STATISTICS FOR COST ALLOCATION (W/S B-1) This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CENTINELA HOSPITAL MEDICAL CENTER GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Costs-Bldg ... trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: CENTINELA HOSPITAL MEDICAL CENTER GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Costs-Bldg &...

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... Col. Reported (Decrease) Adjusted Report References CENTINELA HOSPITAL MEDICAL CENTER Adjustments Explanation of Audit Adjustments FEBRUARY 1, 2008 THROUGH DECEMBER 31, 2008 HSC30240H Cost Report ADJUSTMENTS ... Audit Work As Increase As No. Report Sheet Part Title Line Col. Reported (Decrease) Adjusted Report References CENTINELA HOSPITAL MEDICAL CENTER Adjustments...

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... charges exceed reasonable cost, no further calculation necessary for this schedule. COMPUTATION OF LESSER OF MEDI-CAL REASONABLE COST OR CUSTOMARY CHARGES This is trial version www.adultpdf.com STATE ... Fiscal Period Ended: SAN FRANCISCO GENERAL HOSPITAL JUNE 30, 2009 Provider No: HSC00228W REPORTED AUDITED REASONABLE COST OF MEDI-CAL INPATIENT SERVICES 1. Cost of Covered Services...

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... NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS MVBLE EQ BLDG & FIX BLDG 2 BLDG 3 BLDG 5 BLDG 9 BLDG ... CAP OLD CAP OLD CAP OLD CAP OLD CAP OLD CAP TRIAL BALANCE COST ALLOC BLDG & COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS COSTS EXPENSES (From Sch 10) FIXTURES BLDG 2 BLDG 3 BLDG 5 ......

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... TOTAL COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.2 Fiscal Period Ended: JUNE 30, 2009 NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP ADMINIS- OPERATIONS LAUNDRY & COSTS COSTS COSTS COSTS COSTS COSTS ... Transitional Care Unit COMPUTATION OF COST ALLOCATION (W/S B) SCHEDULE 8.2 Fiscal Period Ended: JUNE 30, 2009 NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP NEW CAP ADMINIS- OPERATIO...

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... 2,438,736 541,948 2,980,684 To reclassify other and nonchargeable supply expenses to the appropriate cost center for proper cost determination. CMS Pub. 15-1, Sections 2300, 2302, 2304, and 2306 8 10A ... be reversed on the audit report as they are not applicable to the Medi-Cal Program. CMS Pub. 15-1, Sections 2300, 2302, 2304, and 2306 Page 1 Report References SAN FRANCISC...

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... 15 Psych Emergency (Costed Requisitions) 7,118 (2,117) 5,001 9 B-1 96.01 15 Other Than Hospital 99,498 2,117 101,615 To adjust costed requisitions statistics to agree with the provider's records. CMS ... adjust costed requisitions statistics to agree with the provider's records and for proper cost determination. CMS Pub. 15-1, Sections 2300, 2304, and 2306 17 9 B-1 61.01 16...

Ngày tải lên: 18/06/2014, 20:20