Get Public File - Oshpd Ca

This guide provides clear, step-by-step instructions for filling out the Public File - Oshpd Ca online. By following these instructions, users with varying levels of experience can successfully complete the form.

Follow the steps to complete the Public File - Oshpd Ca form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing the required general information. Enter the facility name, OSHPD Facility ID, address, and contact information in Section 1. Ensure accuracy to minimize issues during submission.
3. In Section 2, indicate the license category of your clinic. Choose between options such as Community, Free, or Federally Qualified Health Clinic (FQHC) and specify any additional details regarding the clinic type.
4. Fill out the community services and languages spoken by staff and patients in Section 2. Detail any services provided that may serve the demographic needs of the patients.
5. In Section 3, input detailed demographic information about patients, including their ages, races, and the number of encounters based on the provided categories.
6. For Section 4, categorize encounters by principal diagnosis using the specified ICD-9-CM codes, ensuring to report only the principal diagnosis for each encounter.
7. Section 5 requires you to classify encounters by principal services provided based on CPT codes. Accurate entry of these codes is crucial for standard reporting.
8. In Section 6, report revenue and utilization data by payer. This includes encounters and gross revenue for different payment sources like Medicare, Medi-Cal, and other insurance types.
9. Complete Section 7 by summarizing the income statement. Include totals for gross patient revenue, write-offs, and operating expenses.
10. Section 8 requires reporting of capital expenditures and any major equipment acquisitions over the specified amounts. Fill out the details as required.
11. After completing all sections, review your form for accuracy. Save your changes, download the document, print it for your records, or share it as needed.

Complete your Public File - Oshpd Ca online submission today to ensure compliance and accessibility.