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State of California Fiscal Period JANUARY 1, 2008 THROUGH DECEMBER 31, 2008_part4

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10.10.2023

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State of California Fiscal PeriodJANUARY 1, 2008 THROUGH DECEMBER 31, 2008 ZZT05650JAudit Report As Sch Reported Explanation of Audit Adjustments RECONCILIATION OF THE PROVIDERS ADJUSTMENTS TO THE AUDIT REPORT Line 65.00 Dietary 65.04 Dietary - Other - Nonlabor To reclassify the providers adjustment of dietary expense for proper cost determination. 42 CFR 413.20 and 413.24 / CMS Pub. 15-1, Sections 2300 and 2304 * * $125 172,014 Increase (Decrease) As AdjustedDepartment of Health Care Services Provider Number Adjustments26Provider NameCOUNTRY VILLA REDLANDS HEALTHCAREAdj. No.Report References Cost Report MC530 Page or Exhibit Line Col.1410.1(4) Not Reported65148A-1 8A-1($125) 125$0 172,139This is trial version...
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State of California Fiscal Period JANUARY 1, 2008 THROUGH DECEMBER 31, 2008_part4

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