Total Inpatient Charges definition

Total Inpatient Charges includes total inpatient and hospital subprovider charges without any deductions for contract allowances or discounts offered to third party payors or self pay patients. Data should be taken from hospital cost report(s). The specific figures to be used are found in Worksheet C, Part I, Column 6 Line 200 less Lines 44 to 46, less Lines 88 to 89, less Lines 94 to 101, less Lines 105 to 112, and less Lines 115 to 117. If charges for Rural Health Clinics or Federally Qualified Health Clinics appear anywhere other than on Lines 88 to 89, these charge amounts should also be deducted from Line 200. Governmentally-Operated Hospitals (Group 4 Eligibility) Because the state has designated all governmentally-operated hospitals (represented in Group 4) as DSH hospitals, no eligibility calculations are required other than the minimum qualifications in columns B and C. Obstetrician Requirements In order to ensure that hospitals receiving DSH payments meet requirements related to obstetricians, all hospitals that are determined to have a MIUR of at least 1% must file a completed certification statement indicating their compliance with the requirements. Any hospital that fails to return the certification statement by the date specified by AHCCCS will not be eligible to receive DSH payments for the state plan year of the initial DSH payment. For the determination of a hospital’s compliance with the obstetrician requirement, the certification will be based on the state plan year of the initial DSH payment from the start of the state plan year to the date of certification. The certification statement shall incorporate the following language: I certify that the hospital indicated below currently has and has had since the beginning of the current state plan year at least two (2) obstetricians with staff privileges who have agreed to provide obstetric services to individuals eligible for Medicaid, OR I certify that the hospital indicated below is located in a rural area and currently has and has had since the beginning of the current state plan year at least two (2) qualified physicians with staff privileges who have agreed to provide non-emergency obstetric services to individuals eligible for Medicaid, OR I certify that the hospital indicated below did not offer non-emergency obstetric services to the general population as of December 22, 1987, or that the inpatients of the hospital are predominantly individuals under 18 years of age. Payment
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Total Inpatient Charges a. For the initial determination of a hospital’s LIUR, the cost report (or reports) for the hospital for the hospital’s fiscal/CMS Report years that encompass the state plan rate year two years prior to the state plan rate year of the initial DSH payment. The specific figure to be used is found on Worksheet C Part 1, Column 6 Line 101 less Lines 34 to 36, less Lines 63.5 to 63.99, and less Lines 64 to 68. If charges for Rural Health Clinics or Federally Qualified Health Clinics appear anywhere other than on Lines 63.5 to 63.99, these charge amounts should also be deducted from Line 101. The CMS 2552-96 form(s) to be used is the “finalized” or “settled” version (i.e., the CMS 2552-96 that has been settled by the hospital’s Medicare fiscal intermediary with the issuance of a Notice of Program Reimbursement). If the finalized version of the CMS 2552-96 is not available, the filed (or latest filed) report shall be used.
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Examples of Total Inpatient Charges in a sentence

  • Total Inpatient Charges: $100,000,000 W/S G-2, Pt. I, Line 25, Col.

  • Total Inpatient Charges Attributable to Charity Care” includes the amount of inpatient services – stated as charges – that is provided free to individuals who cannot afford health care due to inadequate resources as determined by the hospital’s charity care policy and do not otherwise qualify for government subsidized insurance.

  • Total Inpatient Charges Attributable to Individuals Hospital should enter total charges with no Third Party Coverage that appear on their Schedule 82.

  • Allocation of Allowable Costs:Billed Outpatient Charges (Emergency Department)$Imputed Outpatient and Employee Charges$Total Outpatient Charges$Imputed Inpatient Charges$Billed Inpatient Charges$Total Inpatient Charges$Total Outpatient and Inpatient Charges$ Total Outpatient Charges X Allowable Provider Costs = Allowable Part B Costs Total Charges X = $ Total Inpatient Charges X Allowable Provider Costs = Allowable Part A Costs Total Charges X = $ Rev.

  • She said that there was an overwhelming response with 544 rain barrels sold.

  • To calculate Total Adjusted Patient Days, multiply the grand total of patient days by the ratio of Total Charges to Total Inpatient Charges for all sources.• Hospitals must have both total charges and total inpatient charges populated on the JAR or a hospital’s supplemental payment amount cannot be determined.• The statistic that is important when evaluating a hospital’s ability to earn supplemental payments is Medicaid Adjusted Days expressed as a percent of Total Adjusted Patient Days.

  • Table 32: Total Inpatient Charges Before and After Program Enrollment by County: Clients on MediCal At Enrollment (N=280) MeasureAlameda N=35Sacramento N=101Santa Cruz N=62Tarzana N= 32Tulare N=50Sum of Inpatient Charges PRE$1,671,132$9,032,912$5,188,865$104,919* Statistically significant.

  • A hospital’s LIUR is calculated by summing the following two equations: Equation 1 is the ratio ofTotal Medicaid Patient Revenues + Total State & Local Cash Subsidies for Patient Services Total Revenues for Patient Services Equation 2 is the ratio ofTotal Inpatient Charges Attributable to Charity Care–Cash Subsidies Portion Attributable to Inpatient Total Inpatient Charges The calculation is performed using hospital data from the base year.

Related to Total Inpatient Charges

  • Contract Charges means charges that accrue during a given month as defined in Article III. “Contract Term” is defined in Article IV.

  • Development Charges or “DC” shall mean the amount charged by the Company from the Applicant(s) towards carrying out the developmental works inside or around the Project, including but not limited to the payment of the following:

  • development charge means a charge imposed pursuant to this By-law;

  • Total Service Charges means all charges, after application of all discounts and credits, for Services excluding Taxes, Governmental Charges, equipment, Company ILEC, Company Wireless, Document Delivery Fax, non-recurring, goods and services acquired by Company as Customer’s agent, international pass-through access (Type 3/PTT) and charges for international access or provided by Company (Type 1), charges for security services provided by Cybertrust, Inc. or its affiliates set forth in the Guide as providers of Cybertrust security services and other charges expressly excluded by this Agreement.

  • Management Charge means the sum paid by the Supplier to the Authority being an amount of half (0.5) percent of all Charges for the Services invoiced to the Contracting Bodies (net of VAT) in each Month throughout the Term and thereafter until the expiry or earlier termination of any Call-Off Contract;

  • Interest Charges means, for any period, the sum of: (a) all interest, charges and related expenses payable with respect to that fiscal period to a lender in connection with borrowed money or the deferred purchase price of assets that are treated as interest in accordance with GAAP, plus (b) the portion of Capitalized Lease Obligations with respect to that fiscal period that should be treated as interest in accordance with GAAP, plus (c) all charges paid or payable (without duplication) during that period with respect to any Hedging Agreements.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Interest Expense Coverage Ratio means, for any period, the ratio of (a) Consolidated EBITDA for such period to (b) Consolidated Interest Expense for such period.

  • Routine Patient Costs means all health care services that are otherwise covered under the Group Contract for the treatment of cancer or other Life-threatening Condition that is typically covered for a patient who is not enrolled in an Approved Clinical Trial.

  • Consolidated Rental Expense means, for any period, the total rental expense for operating leases of the Borrower and its Consolidated Subsidiaries, determined on a consolidated basis for such period; provided that Consolidated Rental Expense shall not be reduced by any rental income.

  • Debt charges means the principal, including any mandatory sinking fund deposits and mandatory redemption payments, interest, and any redemption premium, payable on securities as those payments come due and are payable. The use of "debt charges" for this purpose does not imply that any particular securities constitute debt within the meaning of the Ohio Constitution or other laws.

  • Access Charges means the sum payable under the Access Agreement and/or this RAO agreed by the Operators to be paid by the Access Seeker to the Access Provider for providing the Access Service, the indicative Access Charges are as per Appendix C hereof which rate is exclusive of GST which shall be payable also by the Access Seeker.

  • Inpatient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • management expense ratio means the total fees and expenses a fund paid during a year divided by its average assets for that year.

  • Assigned Annual Special Tax means the Special Tax of that name described in Section D.

  • Track Charges means the charges payable by or on behalf of the Train Operator to Network Rail, as set out in paragraph 1 of Part 2 of Schedule 7 or under the Traction Electricity Rules;

  • Debt Service Charges means for any Measurement Period, the sum of (a) Consolidated Interest Charges required to be paid for such Measurement Period, plus (b) regularly scheduled principal payments required to be made on account of Indebtedness (excluding the Obligations and any Synthetic Lease Obligations and Capital Lease Obligations) for such Measurement Period, in each case determined on a Consolidated basis in accordance with GAAP.