2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
Medicare cost report. However, Worksheet B only includes 160 direct patient care salaries. We had to derive an estimate for non-direct patient care salaries in order to calculate the market basket weight. We first computed the ratio of salaries to total cost in each cost center from the trial balance of the cost report (Worksheet A). We applied these ratios to the costs reported on Worksheet B for the corresponding cost centers to obtain the total wages and salaries for each composite rate cost center. These salaries were then summed and added to the direct patient care salary amount that is reported separately. When divided by total composite rate costs, the result is a cost weight for total salaries. This increased the expenditure weight from 34.154 percent for direct patient care salaries to 38.808 percent for total salaries. (3) Employee Benefits The benefits weight was derived from the BES since a benefit share for all employees is not available for the ESRD Medicare cost reports. The cost reports only reflect benefits for direct patient care. We applied the benefits proportion of wages and salaries for kidney dialysis centers from the BES to the salary amount calculated from the cost reports as described above. This resulted in a benefit weight that was 1.758 percentage points larger (8.850 versus 6.822) than the benefits for direct patient care calculated
from the cost reports. To avoid double counting and to ensure all of the market basket weights still totaled 100 161 percent, we removed this additional 1.758 percentage points for benefits from pharmaceuticals, administrative and general, supplies, laboratory services, housekeeping and operations, and the capital components. This calculation reapportions the benefits expense for each of these categories using a method similar to the method used for distributing non-direct patient care salaries as described above. This method approximates the proportion of each cost center’s costs that are benefits using available salary expenditure data. (4) Professional Fees Professional fees include accounting, bookkeeping, and legal expenses. We derived the weight for professional fees from the BES since the Medicare cost reports do not include this level of detail. We first calculated the ratio of BES professional fees for kidney dialysis centers to total BES wages and salaries for kidney dialysis centers. We applied this ratio to the total wages and salaries share calculated from the cost reports to estimate the proportion of ESRD facility professional fees. The resulting weight was 0.903 percent. To avoid double counting, this proportion was deducted from the calculated weight for the administrative
- Page 109 and 110: Group Medical Nutritional Therapy (
- Page 111 and 112: 111 furnished in the group setting
- Page 113 and 114: CMS Review 113 As noted previously,
- Page 115 and 116: system that permits the physician a
- Page 117 and 118: 117 associated with the provided se
- Page 119 and 120: 119 overlapping surgeries, the teac
- Page 121 and 122: anesthesia programs that have arran
- Page 123 and 124: 123 Section 623 of the MMA also req
- Page 125 and 126: 125 hospital-based facilities; whil
- Page 127 and 128: 127 The next step would be to devel
- Page 129 and 130: Drugs Second Quarter ASP +6 Percent
- Page 131 and 132: 131 independent facilities, to acco
- Page 133 and 134: 133
- Page 135 and 136: distributed this over a total proje
- Page 137 and 138: 137 additional 0.7 percent addition
- Page 139 and 140: 139 billed drugs regardless of sett
- Page 141 and 142: 141 than 0.9000 are paid more than
- Page 143 and 144: adoption of the new hospital wage i
- Page 145 and 146: of geographic designations for purp
- Page 147 and 148: and they may or may not be suitable
- Page 149 and 150: the Medicare Geographic Classificat
- Page 151 and 152: (2) Metropolitan Divisions Under OM
- Page 153 and 154: 153 applying revised composite paym
- Page 155 and 156: ased on the labor components establ
- Page 157 and 158: 157 actual cost structure faced by
- Page 159: 159 ESRD facilities is 53.711, as s
- Page 163 and 164: from Worksheet A. The resulting mar
- Page 165 and 166: (1) Hospital Data Used In this prop
- Page 167 and 168: wage data ended. However, since the
- Page 169 and 170: approach to phasing-in the proposed
- Page 171 and 172: facilities that would receive lower
- Page 173 and 174: 173 wage index values and then simu
- Page 175 and 176: 175 Because Neighborhood Dialysis C
- Page 177 and 178: 177 detected through our receipt of
- Page 179 and 180: 179 CBSA Code Urban Area Wage (Cons
- Page 181 and 182: 181 CBSA Code Urban Area Wage (Cons
- Page 183 and 184: 183 CBSA Code Urban Area Wage (Cons
- Page 185 and 186: 185 CBSA Code Urban Area Wage (Cons
- Page 187 and 188: 187 CBSA Code Urban Area Wage (Cons
- Page 189 and 190: 189 CBSA Code Urban Area Wage (Cons
- Page 191 and 192: 191 CBSA Code Urban Area Wage (Cons
- Page 193 and 194: 193 CBSA Code Urban Area Wage (Cons
- Page 195 and 196: 195 CBSA Code Urban Area Wage (Cons
- Page 197 and 198: 197 CBSA Code Urban Area Wage (Cons
- Page 199 and 200: 199 CBSA Code Urban Area Wage (Cons
- Page 201 and 202: 201 CBSA Code Urban Area Wage (Cons
- Page 203 and 204: 203 CBSA Code Urban Area Wage (Cons
- Page 205 and 206: 205 CBSA Code Urban Area Wage (Cons
- Page 207 and 208: 207 CBSA Code Urban Area Wage (Cons
- Page 209 and 210: 209 CBSA Code Urban Area Wage (Cons
Medicare cost report. However, Worksheet B only includes<br />
160<br />
direct patient care salaries. We had to derive an estimate<br />
for non-direct patient care salaries in order to calculate<br />
the market basket weight. We first computed the ratio <strong>of</strong><br />
salaries to total cost in each cost center from the trial<br />
balance <strong>of</strong> the cost report (Worksheet A). We applied these<br />
ratios to the costs reported on Worksheet B for the<br />
corresponding cost centers to obtain the total wages and<br />
salaries for each composite rate cost center. These<br />
salaries were then summed and added to the direct patient<br />
care salary amount that is reported separately. When<br />
divided by total composite rate costs, the result is a cost<br />
weight for total salaries. This increased the expenditure<br />
weight from 34.154 percent for direct patient care salaries<br />
to 38.808 percent for total salaries.<br />
(3) Employee Benefits<br />
The benefits weight was derived from the BES since a<br />
benefit share for all employees is not available for the<br />
ESRD Medicare cost reports. The cost reports only reflect<br />
benefits for direct patient care. We applied the benefits<br />
proportion <strong>of</strong> wages and salaries for kidney dialysis centers<br />
from the BES to the salary amount calculated from the cost<br />
reports as described above. This resulted in a benefit<br />
weight that was 1.758 percentage points larger (8.850 versus<br />
6.822) than the benefits for direct patient care calculated