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“Capital expenditure” means an expenditure, including an expenditure for a construction project undertaken by a health care facility as its own contractor, which, under generally accepted accounting principles, is not properly chargeable as an expense of operation and maintenance, which is made to change the bed capacity of the facility, or substantially change the services or service area of the health care facility, health service provider, or hospice, and which includes the cost of the studies, surveys, designs, plans, working drawings, specifications, initial financing costs, and other activities essential to acquisition, improvement, expansion, or replacement of the plant and equipment.“Certificate of need” means a written statement issued by the agency evidencing community need for a new, converted, expanded, or otherwise significantly modified health care facility, health service, or hospice.“Commenced construction” means initiation of and continuous activities beyond site preparation associated with erecting or modifying a health care facility, including procurement of a building permit applying the use of agency-approved construction documents, proof of an executed owner/contractor agreement or an irrevocable or binding forced account, and actual undertaking of foundation forming with steel installation and concrete placing.“Expedited review” means the process by which certain types of applications are not subject to the review cycle requirements contained in s. The remaining certificate-of-need application fees shall be used only for the purpose of administering the certificate-of-need program. For all other rules developed by the Agency for Health Care Administration, coordination with the Department of Children and Families, the Agency for Persons with Disabilities, the Department of Health, and the Department of Elderly Affairs is encouraged.408.039(1), and the letter of intent requirements contained in s. The agency shall develop and maintain a comprehensive health care database for the purpose of health planning and for certificate-of-need determinations. The interagency agreement shall also include any other provisions necessary to ensure a continued cooperative working relationship between the Agency for Health Care Administration and the Department of Children and Families, the Agency for Persons with Disabilities, the Department of Health, and the Department of Elderly Affairs as each strives to meet the needs of the citizens of Florida.Example: Billing A physician provides a chest X-ray (code 71010) to a patient.She would bill Medicare Part B for the professional component only, using the -26 modifier (71010-26).Before consolidating billing, all SNFs had the option of unbundling services.This meant they could allow a provider to provide a service to the patient and allow the physician to submit the claim directly to Medicare Part B, and the SNF would submit its claim to Medicare Part A.Today, five years later, NSPC has grown eightfold, and now serves 69 clinics in seven states, including Connecticut, Maryland, New Jersey, New York, North Carolina, Virginia, West Virginia, and the District of Columbia.

A health facility which is assessed a fee under this subsection is subject to a fine of 0 per day for each day in which the facility is late in submitting its annual fee up to the maximum of the annual fee owed by the facility. The Agency for Health Care Administration shall enter into an interagency agreement with the Department of Children and Families, the Agency for Persons with Disabilities, the Department of Health, and the Department of Elderly Affairs to assure coordination and cooperation in serving special needs citizens.Listed below are excluded services from that list that affect rheumatologists.Congress enacted the Balance Budget Act of 1997, Public Law 105-33, Section 4432(b), which included the consolidated billing guidelines for skilled nursing facilities (SNFs).408.039(2).“Health care facility” means a hospital, long-term care hospital, skilled nursing facility, hospice, or intermediate care facility for the developmentally disabled. The agency or its contractor is authorized to require the submission of information from health facilities, health service providers, and licensed health professionals which is determined by the agency, through rule, to be necessary for meeting the agency’s responsibilities as established in this section. Notwithstanding any other provisions of this chapter, the Public Counsel shall represent the public in any proceeding before the agency or its advisory panels in any administrative hearing conducted pursuant to chapter 120 or before any other state and federal agencies and courts in any issue before the agency, any court, or any agency.A facility relying solely on spiritual means through prayer for healing is not included as a health care facility.“Health services” means inpatient diagnostic, curative, or comprehensive medical rehabilitative services and includes mental health services. 412.23(e) and seeks exclusion from the acute care Medicare prospective payment system for inpatient hospital services.“Mental health services” means inpatient services provided in a hospital licensed under chapter 395 and listed on the hospital license as psychiatric beds for adults; psychiatric beds for children and adolescents; intensive residential treatment beds for children and adolescents; substance abuse beds for adults; or substance abuse beds for children and adolescents. The Department of Health shall contract with the local health councils for the services specified in subsection (1). With respect to any such proceeding, the Public Counsel is subject to the provisions of and may use the powers granted to him or her by ss. Recommend to the agency, by petition, the commencement of any proceeding or action or to appear, in the name of the state or its citizens, in any proceeding or action before the agency and urge therein any position that he or she deems to be in the public interest, whether consistent or inconsistent with positions previously adopted by the agency, and use therein all forms of discovery available to attorneys in civil actions generally, subject to protective orders of the agency, which shall be reviewable by summary procedure in the circuit courts of this state.

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