REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA part2 docx
REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA_part2 docx
... 2
PROGRAM: NONCONTRACT
Provider Name: Fiscal Period Ended:
MARIAN MEDICAL CENTER JUNE 30, 2009
Provider No.
ZZT30107G
REPORTED AUDITED
REASONABLE COST OF MEDI-CAL INPATIENT SERVICES
1. Cost of Covered ... version
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STATE OF CALIFORNI
A
SCHEDULE A-4
PROGRAM: NONCONTRACT
Provider Name: Fiscal Period Ended:
MARIAN MEDICAL CENTER JUNE 30,2009
Provider No.:
ZZT30107...
REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA_part3 pdf
... EQUIP COST COST COST COST COST COST COST
0.00 1.00 2.00 3.00 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07
COMPUTATION OF COST ALLOCATION (W/S B)
GENERAL SERVICE COST CENTER
1.00
Old Cap Rel Costs-Bldg ... 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...
REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA_part4 docx
... COST ALLOCATION (W/S B-1)
This is trial version
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STATE OF CALIFORNIA
Provider Name:
MARIAN MEDICAL CENTER
TRIAL BALANCE
EXPENSES
GENERAL SERVICE COST CENTER
1.00
Old Cap Rel Costs-Bldg ... COST ALLOCATION (W/S B-1)
This is trial version
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STATE OF CALIFORNIA
Provider Name:
MARIAN MEDICAL CENTER
TRIAL BALANCE
EXPENSES
GENERAL SERVICE COST C...
REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA_part5 doc
... inpatients in Noncontract acute
hospitals are subject to various reimbursement limitations identified in
AB 5.
W&I Code, Section 14105.245
Page 1
Report References
MARIAN MEDICAL CENTER
Adjustments
Explanation ... is trial version
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STATE OF CALIFORNIA
Provider Name:
MARIAN MEDICAL CENTER
GENERAL SERVICE COST CENTER
1.00 Old Cap Rel Costs-Bldg &...
REPORT ON THE COST REPORT REVIEW MARIAN MEDICAL CENTER SANTA MARIA_part6 doc
... Col. Reported (Decrease) Adjusted
Report References
MARIAN MEDICAL CENTER
Adjustments
Explanation of Audit Adjustments
JULY 1, 2008 THROUGH JUNE 30, 2009 ZZT30107H
Cost Report
ADJUSTMENTS TO REPORTED ... Number
29
Adj. Audit Work As Increase As
No. Report Sheet Part Title Line Col. Reported (Decrease) Adjusted
Report References
MARIAN MEDICAL CENTER
Adjustments
Explanati...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART1 pdf
... COST
This is trial version
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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 We...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART2 pot
... 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 ... Findings)
COMPUTATION OF MEDI-CAL CONTRACT COST
This is trial version
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STATE OF CALIFORNIA CONTRACT SCH 4A
Provider Name: Fiscal Period Ended:
CENTINELA HOSPITAL MEDICAL...
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)
This is 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 ... 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 & Fixt...
REPORT ON THE COST REPORT REVIEW CENTINELA HOSPITAL MEDICAL CENTER_PART5 docx
... HSC30240H
Cost Report
ADJUSTMENTS TO REPORTED MEDI-CAL SETTLEMENT DATA - NONCONTRACT
4 4A Not Reported Medi-Cal Administrative Days (Feb 1, 2008 through Jul 31, 2008) 0 171 171
4A Not Reported ... Col. Reported (Decrease) Adjusted
Report References
CENTINELA HOSPITAL MEDICAL CENTER
Adjustments
Explanation of Audit Adjustments
FEBRUARY 1, 2008 THROUGH DECEMBER 31, 2008 HSC30240H
Cos...
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