... REASONABLE COST OF MEDI-CAL INPATIENT SERVICES 1. Cost of Covered Services (Desig Pub Hosp Sch 3) $ 100,559,823 $ 106,613,078 CHARGES FOR MEDI-CAL INPATIENT SERVICES 2. Inpatient Routine Service ... (430,158) 11. Net Cost of Covered Services Rendered to Medi-Cal Inpatients $ 100,059,542 $ 105,991,878 (To Desig Pub Hosp Sch 1) COMPUTATION OF MEDI-CAL NET CO...
Ngày tải lên: 20/06/2014, 03:20
... State of California Department of Health Care Services Provider Name Fiscal Period Provider Number 31 Adj. Audit Work As ... Sections 2300, 2304, and 2306 Page 7 This is trial version www.adultpdf.com State of California Department of Health Care Services Provider Name Fiscal Period Provider Number 31 Adj. Audit Work As ... 15-1, Sections 2300 and 2409 Page 12 This is trial ve...
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STATE OF CALIFORNIA COMPUTATION OF MEDICAL INPATIENT ROUTINE SERVICE COST_PART2 docx
... ALLOC 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 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 48,012 0 0 0 0 0 0 0 0 23,491,233 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 2,721,654 731...
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STATE OF CALIFORNIA COMPUTATION OF MEDICAL INPATIENT ROUTINE SERVICE COST_PART3 potx
... version www.adultpdf.com STATE OF CALIFORNIA Provider Name: USC KENNETH NORRIS JR. CANCER HOSPITAL GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Costs-Bldg & Fixtures 2.00 Old Cap Rel Costs-Movable ... version www.adultpdf.com STATE OF CALIFORNIA Provider Name: USC KENNETH NORRIS JR. CANCER HOSPIT TRIAL BALANCE EXPENSES GENERAL SERVICE COST CENTER 1.00 Old Cap Rel Cos...
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STATE OF CALIFORNIA COMPUTATION OF MEDICAL INPATIENT ROUTINE SERVICE COST_PART4 docx
... TO REPORTED COSTS This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: USC KENNETH NORRIS JR. CANCER HOSPITAL GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Costs-Bldg & ... 1 GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Costs-Bldg & Fixtures $0 2.00 Old Cap Rel Costs-Movable Equipment 0 3.00 New Cap Rel Costs-Bldg & Fixtures 491,203 491,203 4.0...
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STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part2 pptx
... 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 ... 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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STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part3 pptx
... STATE OF CALIFORNIA Provider Name: SAN FRANCISCO GENERAL HOSPITAL GENERAL SERVICE COST CENTERS 1.00 Old Cap Rel Cost - Buildings and Fixtures 1.01 Old Cap Rel Cost - Building ... SERVICE COST CENTERS 1.00 Old Cap Rel Cost - Buildings and Fixtures 1.01 Old Cap Rel Cost - Building 2 1.02 Old Cap Rel Cost - Building 3 1.03 Old Cap Rel Cost - Building 5 1.05 Old Cap Rel...
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STATE OF CALIFORNIA SCHEDULE 4B PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST _part4 doc
... BALANCE OF EXPENSES ADJUSTMENTS This is trial version www.adultpdf.com STATE OF CALIFORNIA Provider Name: SAN FRANCISCO GENERAL HOSPITAL GENERAL SERVICE COST CENTER 1.00 Old Cap Rel Cost - Buildings ... version www.adultpdf.com STATE OF CALIFORNIA SCHEDULE 10 Provider Name: Fiscal Period Ended: SAN FRANCISCO GENERAL HOSPITAL JUNE 30, 2009 GENERAL SERVICE COST CENTE...
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STATE OF CALIFORNIA SCHEDULE 4A PROGRAM: NONCONTRACT COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST pot
... Inpatient Days (Adj 29) 0 158 31. Cost Applicable to Medi-Cal $ 0 $ 50,236 32. Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,28,31) $ 0 $ 110,197 (To Schedule 4) COMPUTATION OF MEDI-CAL INPATIENT ... (27,072) $ (30,907) 11. Net Cost of Covered Services Rendered to Medi-Cal Inpatients $ 67,438,981 $ 71,523,814 (To Contract Sch 1) COMPUTATION OF MEDI-CAL N...
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STATE OF CALIFORNIA COMPUTATION OF MEDI-CAL INPATIENT ROUTINE SERVICE COST_part1 pot
... Diem Cost $ 0.00 $ 0.00 29. Medi-Cal Inpatient Days (Adj ) 0 0 30. Cost Applicable to Medi-Cal $ 0 $ 0 31. Medi-Cal Routine Cost (Sum of Lines 5,10,15,20,25,30) $ 0 $ 0 (To Contract Sch 4) COMPUTATION ... Per Diem Cost $ 0.00 $ 0.00 24. Medi-Cal Inpatient Days (Adj ) 0 0 25. Cost Applicable to Medi-Cal $ 0 $ 0 26. Total Inpatient Routine Cost (Sch 8, Lin...
Ngày tải lên: 20/06/2014, 03:20