This section defines key financial and cost-accounting terms—fully loaded cost of care, Medicare cost report, and per diem charge—used in the chapter governing Saint Elizabeths Hospital's inpatient rate-setting. Facility operators at Saint Elizabeths must understand these definitions to comply with inpatient billing and cost-reporting requirements under the chapter.
View official source5599 DEFINITIONS 5599.1 When used in this chapter, the following terms shall have the meaning ascribed: Fully loaded cost of care – the average cost per day to provide inpatient hospital services to a patient. This rate includes direct medical service costs and administrative and overhead costs. Medicare cost report – a report that calculates the cost to provide inpatient and outpatient hospital services, as required by the Centers for Medicare and Medicaid Services (CMS). Per diem charge – the cost per day that is to be charged by Saint Elizabeths Hospital for inpatients. Source: Notice of Final Rulemaking published at 57 DC12222, 12223 (December 24, 2010)