2006 proposed fee schedule - American Society of Clinical Oncology

and other expenditure category, where the fees would have
been reported on the Medicare cost reports.
(5) Housekeeping and Operations
162
The housekeeping and operations cost category includes
expenses such as janitorial and building services costs. We
developed a market basket weight for this category using
data from both Worksheets A and B of the cost reports.
Worksheet B combines the capital-related costs for buildings
and fixtures with the operation and maintenance of plant
(operations) and housekeeping cost centers, so we were
unable to calculate a weight directly from Worksheet B.
Accordingly, we computed the proportion of housekeeping and
operations costs, to the combination of total
capital-related costs for buildings and fixtures and
housekeeping and operations costs using Worksheet A because
these categories are individually reported on this
worksheet. We then subtracted this share from the
proportion of Worksheet B total capital-related costs to
yield a weight for housekeeping and operations. To avoid
double counting, we subtracted utilities expenditures (which
are included in the utilities weight shown in Table 24) from
the housekeeping and operations weight, as well as the
non-direct patient care salaries and benefits share
associated with the operations and housekeeping cost centers