Table 8.2 FORM CMS County Hospital - Fiscal Year One Worksheet A
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1 Table 8.2 Worksheet A A-6 Reclassified A-8 Net Expenses Salaries Other Total Reclassifications Trial Balance Adjustments For Allocation Cost Center Descriptions General Service Cost Centers 1 Capital Related Costs - Buildings and Fixtures 0 2,000,000 2,000,000 2,000,000 2 Capital Related Costs - Movable Equipment 0 3,000,000 3,000,000 3,000,000 3 Employee Benefits B) 1,590,000 1,590,000 1,590,000 1,590,000 4 Administrative and General S) 7,000,000 U) 6,200,000 13,200,000 (5,000,000) 8,200,000 (2,500,000) 5,700,000 5 Maintenance and Repairs X) 400,000 Y) 125, , , ,000 6 Housekeeping Dietary Nursing Administration Central Services and Supply Pharmacy Z) 200,000 AA) 125, , , , Medical Records V) 650,000 W) 325, , , , Social Service Inpatient Routine Service Cost Centers 13 Adult and Pediatrics A) 2,000,000 C) 850,000 2,850,000 2,850,000 (50,000) 2,800, Intensive Care Unit F) 1,200,000 G) 500,000 1,700,000 1,700,000 (50,000) 1,650, Nursery D) 1,000,000 E) 420,000 1,420,000 1,420,000 (20,000) 1,400, Operating Room H) 1,800,000 I) 1,400,000 3,200,000 (600,000) 2,600,000 (200,000) 2,400, Radiology - Diagnostic Computed Tomography (CT Scan) Magnetic Resonance Imaging (MRI) M) 1,100,000 N) 485,000 1,585,000 1,585,000 (15,000) 1,570, Laboratory K) 800,000 L) 500,000 1,300,000 1,300,000 1,300, Physical Therapy Q) 900,000 R) 1,100,000 2,000,000 2,000,000 (500,000) 1,500, Medical Supplies Charged to Patient Implantable Devices Charged to Patients 0 600, , , Drugs Charged to Patients T) 175, , , , Emergency O) 400,000 P) 2,020,000 2,420,000 2,420,000 2,420, Observation Beds Subtotal 19,040,000 14,225,000 33,265, ,265,000 (3,335,000) 29,930,000 Non-Reimbursable Cost Centers 28 Gift Shop Total 19,040,000 14,225,000 33,265, ,265,000 (3,335,000) 29,930,000
2 Table 8.3 Worksheet A-6 Increases Decreases Wkst A-7 Code Cost Center Line # Salary Other Cost Center Line # Salary Other Ref Explanation of Reclassifications Reclass depreciation to appropriate line item Depreciation - Building 1 2,000,000 Administrative and General 4 5,000,000 2 Reclass depreciation to appropriate line item Depreciation - Equipment 2 3,000,000 3 Reclass implants to appropriate line item Implantable Devices Charged to Patients ,000 Operating Room ,000 4 Total 5,600,000 5,600,000
3 Table 8.4 Expense Classification on Worksheet A to/from which the Worksheet Description Basis/Code Amount amount is to be adjusted A-7 Ref Investment Income 2 Investment Income 3 Trade, Quantity and Time Discounts 4 Refunds and Rebates of Expenses 5 Rental of Provider Space by Suppliers 6 Telephone Services 7 Television and Radio Service 8 Parking Lot 9 Provider-Based Physician Adj. 1 (135,000) Worksheet A Sale of Scrap, Waste, Etc 11 Related organization transactions 12 Laundry and Linen Service 13 Cafeteria Employees and guests 2 (1,500,000) Admin and General 4 14 Rental of Quarters to Employees 15 Sale of Medical and Surgical Supplies 2 (500,000) Physical Therapy Sales of Drugs to Other Than Patients 17 Sale of Medical Records and Abstracts 18 Nursing School 19 Vending Machines 20 Depreciation - Buildings 21 Depreciation - Movable Equipment 22 Non Physician Anesthetist 1 (200,000) Operating Room Physician Assistants 24 Adjustment for speech pathology cost in excess of limitation 25 Adjustment for occup. therapy cost in excess of limitation 26 Miscellaneous Income - Rent 2 (1,000,000) Admin and General FORM CMS Worksheet A - 8 Total (3,335,000)
4 Table 8.5 Worksheet A-8-2 Cost Center Total Professional Provider RCE Physician/Provider Unadjusted 5% of Unadjusted Wkst A Line # Physician Identifier Remuneration Component Component Amount Component Hours RCE Limit RCE Limit Adults and Peds 50,000 50, ICU 50,000 50, Nursery 20,000 20, MRI 15,000 15,000 Total 135, ,000
5 Table 8.7 Schedule B-1 STATISTICAL BASIS Capital Related Costs Capital Related Costs Employee Administrative Maintenance Nursing Central Service Medical Social Buildings/Fixtures Movable Equipment Benefits and General and Repairs Housekeeping Dietary Admin and Supply Pharmacy Records Service (square feet) (square feet) (gross salaries) (accum cost) (square feet) (drug requests) (time spent) Cost Center Description General Service Cost Centers 1 Capital Related Costs - Buildings and Fixtures 2 Capital Related Costs - Movable Equipment 3 Employee Benefits 4 Administrative and General 25,000 25,000 7,000,000 25,000 5 Maintenance and Repairs 11,000 11, ,000 11,000 6 Housekeeping 7 Dietary 8 Nursing Administration 9 Central Services and Supply 10 Pharmacy 14,000 14, ,000 14, Medical Records 10,000 10, ,000 10, Social Service Inpatient Routine Service Cost Centers 13 Adult and Pediatrics 220, ,000 2,000, ,000 10, Intensive Care Unit 25,000 25,000 1,200,000 25,000 2, Nursery 10,000 10,000 1,000,000 10,000 1, Operating Room 50,000 50,000 1,800,000 50,000 5, Radiology - Diagnostic 18 Computed Tomography (CT Scan) 19 Magnetic Resonance Imaging (MRI) 20,000 20,000 1,100,000 20, Laboratory 35,000 35, ,000 35, Physical Therapy 30,000 30, ,000 30, Medical Supplies Charged to Patient 23 Implantable Devices Charged to Patients 24 Drugs Charged to Patients 20,000 20,000 20, , Emergency 30,000 30, ,000 30,000 1, Observation Beds 27 Subtotal Non-Reimbursable Cost Centers 28 Gift Shop 29 Total 500, ,000 17,450, , ,000 20,000 0
6 Table 8.8 Worksheet B Part 1 Net Expenses for Capital Related Costs Capital Related Costs Employee Administrative Maintenance Medical Cost Allocation Buildings/Fixtures Movable Equipment Benefits Subtotal and General and Repairs Pharmacy Records Total Cost Center Description General Service Cost Centers 1 Capital Related Costs - Buildings and Fixtures 2,000,000 2,000,000 2 Capital Related Costs - Movable Equipment 3,000,000 3,000,000 3 Employee Benefits 1,590,000 1,590,000 4 Administrative and General 5,700, , , ,822 6,587,822 6,587,822 5 Maintenance and Repairs 525,000 44,000 66,000 36, , , ,948 6 Housekeeping 7 Dietary 8 Nursing Administration 9 Central Services and Supply 10 Pharmacy 325,000 56,000 84,000 18, , ,379 25, , Medical Records 975,000 40,000 60,000 59,226 1,134, ,111 18,555 1,472, Social Service Inpatient Routine Service Cost Centers 13 Adult and Pediatrics 2,800, ,000 1,320, ,235 5,182,235 1,462, , ,446 7,789, Intensive Care Unit 1,650, , , ,341 2,009, ,093 46, ,112 2,806, Nursery 1,400,000 40,000 60,000 91,117 1,591, ,058 18,555 92,056 2,150, Operating Room 2,400, , , ,011 3,064, ,751 92, ,223 4,389, Radiology - Diagnostic 18 Computed Tomography (CT Scan) 19 Magnetic Resonance Imaging (MRI) 1,570,000 80, , ,229 1,870, ,832 37,110 2,435, Laboratory 1,300, , ,000 72,894 1,722, ,249 64,942 2,274, Physical Therapy 1,500, , ,000 82,006 1,882, ,155 55,665 18,411 2,487, Medical Supplies Charged to Patient 23 Implantable Devices Charged to Patients 600, , , , Drugs Charged to Patients 175,000 80, , , ,836 37, ,580 1,163, Emergency 2,420, , ,000 36,447 2,756, ,947 55,665 73,645 3,663, Observation Beds 0 27 Subtotal 29,930,000 2,000,000 3,000,000 1,590,000 29,930,000 6,587, , ,580 1,472,892 29,930,000 Non-Reimbursable Cost Centers 28 Gift Shop Total 29,930,000 2,000,000 3,000,000 1,590,000 29,930,000 6,587, , ,580 1,472,892 29,930,000
7 Table 8.9 Worksheet C Source Data Inpatient Charges Eliminate Drugs Charged Medical Supply Adjusted Inpatient Outpatient Charges Eliminate Drugs Charged Medical Supply Adjusted Outpatient Adjusted Total From Trial Balance Professional Fees Reclass Reclass Charge Total From Trial Balance Professional Fees Reclass Reclass Charge Total Charges Adult and Pediatrics 15,000,000 (1,200,000) 13,800, ,800, Intensive Care Unit 7,500,000 (750,000) 6,750, ,750, Nursery 8,000,000 8,000, ,000, Operating Room 5,000,000 (400,000) (200,000) (800,000) 3,600,000 10,000,000 (200,000) (400,000) 9,400,000 13,000, Radiology - Diagnostic Computed Tomography (CT) Scan Magnetic Resonace Imaging (MRI) 5,000,000 (50,000) 4,950,000 3,000,000 (25,000) 2,975,000 7,925, Laboratory 4,000,000 (50,000) 3,950,000 3,000,000 (50,000) 2,950,000 6,900, Physical Therapy 5,000,000 5,000,000 3,000,000 3,000,000 8,000, Implantable Devices Charged to Patients 800, , , Drugs Charged to Patients 2,400,000 2,400, , ,000 3,375, Emergency 2,000,000 (100,000) (150,000) 1,750,000 5,000,000 (110,000) (500,000) 4,390,000 6,140, Gift Shop Total 51,500,000 (500,000) ,000,000 24,000,000 (310,000) ,690,000 74,690,000
8 Table 8.10 Worksheet C Part 1 Costs Charges Total Cost from Therapy Limit Total RCE Total Cost or TEFRA PPS IP Wkst B Part 1 Adjustment Costs Disallowance Costs Inpatient Outpatient Total Other Ratio IP Ratio Ratio Cost Center Descriptions Inpatient Routine Service Cost Centers 13 Adult and Pediatrics 7,789,462 7,789,462 7,789,462 13,800, ,800, Intensive Care Unit 2,806,933 2,806,933 2,806,933 6,750, ,750, Coronary Care unit Burn Intensive Care Unit Surgical Intensive Care Unit Other Special Care Subprovider IPF Subprovider IRF Subprovider 15 Nursery 2,150,786 2,150,786 2,150,786 8,000, ,000, Skilled Nursing Facility Nursing Facility Other Long Term Care 16 Operating Room 4,389,760 4,389,760 4,389,760 3,600,000 9,400,000 13,000, Recovery Room Labor Room and Delivery Room Anesthesiology Radiology - Diagnostic Radiology - Therapeutic Radioisotope Computed Tomography (CT) Scan 19 Magnetic Resonace Imaging (MRI) 2,435,171 2,435,171 2,435,171 4,950,000 2,975,000 7,925, Cardiac Catheterization 20 Laboratory 2,274,086 2,274,086 2,274,086 3,950,000 2,950,000 6,900, PBP Clinical Laboratory Services While Blood & Packed Red Blood Cells Blood Storing, Processing & Trans Intravenous Therapy Respiratory Therapy 21 Physical Therapy 2,487,237 2,487,237 2,487,237 5,000,000 3,000,000 8,000, Occupational Therapy Speech Pathology Electrocardiology Electrocephalography Medical Supplies Charged to Patients 23 Implantable Devices Charged to Patients 769, , , , , Drugs Charged to Patients 1,163,525 1,163,525 1,163,525 2,400, ,000 3,375, Renal Dialysis ASC Other Ancillary Rural Health Center Federally Qualified Health Center Clinic 25 Emergency 3,663,703 3,663,703 3,663,703 1,750,000 4,390,000 6,140, Observation Beds Gift Shop Total 29,930, ,930, ,930,000 51,000,000 23,690,000 74,690,
9 Table 8.12 Worksheet D-3 Ratio of Cost Inpatient Inpatient Description To Charges Program Charges Program Costs Routine Serivce Cost Center 13 Adults and Pediatrics ,349,012 6,971, Intensive Care Unit ,469,470 2,690, Nursery** ,459,000 2,004, Operating Room ,058,018 1,032, Radiology - Diagnostic 18 Computed Tomography (CT) Scan 19 Magnetic Resonance Scan (MRI) ,891,000 1,503, Laboratory ,912,000 1,289, Physical Therapy ,868,000 1,824,361 Medical Supplies Charged to Patients 23 Implantable Devices Charged to Patients , , Drugs Charged to Patients ,080, , Emergency ,445,000 1,458,932 Observation Beds 26 Total ,265,000 20,196,770 *Inpatient program charges were pulled from the governmental produced PSR report **Total nursery inpatient charges of $7,459,000 are not found within the PSR report. This figure predominantly represents the charges for Medicaid patients.
10 Table 8.13 Worksheet D-5 Ratio of Cost Outpatient Outpatient Description To Charges Program Charges Program Costs Routine Serivce Cost Center 13 Adults and Pediatrics Intensive Care Unit Nursery Operating Room ,060,000 3,059, Radiology - Diagnostic 18 Computed Tomography (CT) Scan 19 Magnetic Resonance Scan (MRI) ,944, , Laboratory ,718, , Physical Therapy ,011, ,120 Medical Supplies Charged to Patients 23 Implantable Devices Charged to Patients Drugs Charged to Patients , , Emergency ,636,500 2,766,600 Observation Beds 26 Total ,276,000 8,875,277 *Outatient program charges were pulled from the governmental produced PSR report
11 Table 8.15 Worksheet E Part A Part A Inpatient Hospital Services Under PPS 1 Additional payment for high percentage of ESRD discharges 40 Total Medicare discharges on Worksheet S-3 Part 1 excluding certain discharges 41 Total ESRD Medicare discharges 42 Divide line 41 by line Total Medicare ESRD inpatient days 44 Ratio of average length of stay to one week 45 Average weekly cost for dialysis treatments 46 Total additional payment 47 Subtotal (Operating Medicare DSH + Payments Listed on PSR) 9,023, Hospital specific payments 49 Total payment for inpatient operating costs 9,023, Payment for inpatient program capital 28, Exception payment for inpatient program capital 52 Direct graduate medical education payment 53 Nursing and allied health managed care payment 54 Special add-on payments for new technologies 55 Net organ acquisition cost 56 Cost of teaching physicians 57 Routine service other pass through costs 58 Ancillary service other pass through costs 59 Total 9,052, Primary payer amounts 61 Total amount payable for program 9,052, Deductibles billed to program beneficiaries (Found in PSR Report) 500, Coinsurance billed to program beneficiaries (Found in PSR Report) 200, Allowable bad debts 250, Adjusted reimbursable bad debts (Medicare Pass-Through Payment) 175, Allowable bad debts for dual eligible beneficiaries 67 Subtotal 8,527, Credits received from manufacturers for replaced devices applicable to MS-DRG 69 Outlier payments 70 Other adjustments 71 Amount due provider 8,527, Interim payments (From E-1 Part 1) 8,300, Tentative settlement 74 Balance due provider (Sum of lines 71 minus 72 and 73) 227, Protested amounts
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