Budget Analysis I | GHIAL 2012 As a health care administrator/manager it will be imperative for you to work with the organizational budget but also have an exemplary understanding and purpose of the budget for your health care organization. Medicare payments for health care organizations have a complex set of rules. Medicare has paid skilled nursing facilities on a prospective basis since July 1, 1998. The rate is a per diem rate that is calculated to include the costs of all services, including routine, ancillary, and capital. Per diem payments for each admission are case mix adjusted using a resident classification system known as resource utilization groups. For Part A inpatient institutional / Foundat 0 5924 Add'l Rate Respite 0 Total 17,885 Additional Nursing Services #clients hrs/day hrs/period Base Nursing Credit 0 -1.00 0 Care Level 0 (base level) 34 0.00 0 Personal Care and/ or Hsk Level 1 5 0.50 913 Personal Care and/ or Hsk Level 2 3 1.00 1,095 Personal Care and/ or Hsk Level 3 2 1.50 1,095 Personal Care and/ or Hsk Level 4 3 2.00 2,190 Personal Care and/ or Hsk Level 5 0 2.50 0 Personal Care and/ or Hsk Level 6 0 3.00 0 Personal Care and/ or Hsk Level 7 0 3.50 0 Personal Care and/ or Hsk Level 8 0 4.00 0 Licensed Nurse Care 0 1.00 0 Total Addit'nl Personal/Nursing Care Hrs. 47 5,293 Meal Adjustments #clients #mls/day meals/per Breakfast Credit 0 0 Lunch Credit 0 0 Dinner Credit 9 -3,285 Other Meal Charges 12 0 4,380 Total Meal Adjustments 1,095 Revenue Revenue 01/01/2011
