Michigan Administrative Code (Last Updated: November 16, 2016) |
Department LR. Licensing and Regulatory Affairs |
Workers Compensation Agency |
Chapter Workers' Compensation Health Care Services Rules |
Part 11. HOSPITAL PAYMENT RATIO |
Section 418.101101. Calculation and revision of payment ratio for Michigan hospitals.
All data is extracted from pdf, click here to view the pdf.
-
(1) The workers' compensation agency shall annually calculate and revise, under the provisions of 1969 PA 306, 24.201 et seq. MCL, the payment ratios for all Michigan hospitals. The calculation shall be made using a hospital's most recent fiscal year information that is submitted to the Michigan department of community health, medical services administration, preceding each annual calculation. The information used shall be that reported to the Michigan department of community health, medical services administration, on the hospital's statement of patient revenues and operating expenses, G2 worksheet. The workers' compensation agency shall complete the payment ratio calculation between September 1 and October 1, or the earliest date when the figures are available from Michigan department of community health and shall annually publish the hospital ratio calculations in a separate manual effective for dates of service on or after the effective date of these rules.
(2) The workers' compensation agency shall calculate a hospital's cost-to- charge ratio by dividing each hospital's total operating expenses by total patient revenues as reported on the hospital's statement of patient revenues and operating expenses, G2 worksheet.
History: 1998-2000 AACS; 2004 AACS; 2005 AACS.