REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER PART3 ppt
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART1 pdf
... COST
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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...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART2 pot
... 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
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STATE OF CALIFORNIA CONTRACT SCH 4A
Provider Name: Fiscal Period Ended:
CENTINELA H...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART3 ppt
... 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...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART4 docx
... )
STATISTICS FOR COST ALLOCATION (W/S B-1)
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STATE OF CALIFORNIA
Provider Name:
CENTINELA HOSPITAL MEDICAL CENTER
GENERAL SERVICE COST CENTERS
1.00
Old Cap Rel Costs-Bldg ... trial version
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STATE OF CALIFORNIA
Provider Name:
CENTINELA HOSPITAL MEDICAL CENTER
GENERAL SERVICE COST CENTERS
1.00
Old Cap Rel Costs-Bldg &...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART5 docx
... 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...
REPORT ON THE COST REPORT REVIEW SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO, CALIFORNIA _part2 pdf
... charges exceed reasonable cost, no further calculation necessary for this schedule.
COMPUTATION OF LESSER OF
MEDI-CAL REASONABLE COST OR CUSTOMARY CHARGES
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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...
REPORT ON THE COST REPORT REVIEW SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO, CALIFORNIA _part3 doc
... 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 ......
REPORT ON THE COST REPORT REVIEW SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO, CALIFORNIA _part4 ppt
...
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...
REPORT ON THE COST REPORT REVIEW SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO, CALIFORNIA _part5 pot
... 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...
REPORT ON THE COST REPORT REVIEW SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO, CALIFORNIA _part6 doc
... 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...
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