Section 1250.1860  Financial Viability

a)         Criteria #1:  Are costs of the provider offset by reimbursement?

b)         Standard #1:  The costs of providing the service (including cost of acquisition of equipment) should be offset by reimbursement.

c)         Data Factors:

1)         Procedure charges.

2)         Total annual patient volume.

3)         Total annual revenue.

4)         Fixed and variable costs of operation.

5)         Administrative policies on testing.  (When are tests duplicated?).

d)         Standard #2:  Are reimbursement programs available and appropriate?

e)         Data Factors:

1)         Percentage of patients being reimbursed in what manner.

2)         Probable or projected reimbursement.