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297 <br /> <br />Emergency Room Visit - Established Patient <br />90540 25.00 Brief (See definitions for levels of service) <br />90550 30.00 Limited <br />90560 40.00 Intermediate <br />90570 60.00 Extended <br />90580 80.00 Comprehensive <br /> <br />Definitions - Levels of Service* <br />Brief - Evaluation and treatment requiring only an abbreviated history <br /> and exam. <br />Limited - Evaluation of acute illness or re-evaluation of a problem <br /> including interval history & exam, review of past medical <br /> management, diagnosis and treatment, or adjustment of <br /> therapeutic management. <br />Intermediate- Evaluation of new or existing conditions with new diagnosis <br /> and treatment not necessarily 'related to primary diagnosis <br /> that requires history, test, diagnosis, and/or ordering of <br /> appropriate therapeutic management. <br />Extended Requires unusual effort or judgment. Includes detailed <br /> history, review of medical records, exam, conference with <br /> patient and/or family, or comparable diagnosis and/or <br /> therapeutic services. <br />Comprehensive- In depth evaluation with new or existing problem requiring <br /> development or re-evaluation of medical data. Includes family <br /> history, personal history, systems review, complete physical <br /> exam, diagnosis and treatment procedures. <br />*Procedure codes and definitions are those of the 1991 edition of the AMA <br />Physician's Current Procedural Terminology code book and are subject to change <br />with each newly published edition of the book. <br /> <br /> UPON MOTION of Vice-Chairman Barnhart, seconded by Commissioner Carpenter <br />with Commissioners Carpenter and Hamby and Vice-Chairman Barnhart voting for, <br />the Board adopted the following Mammogram Voucher Income Scale. <br /> <br />MAMMOGRAMVOUCHER INCOME SCALE <br />Gross Monthly Income <br /> <br />Family <br />Size $50 $40 $30 $20 <br /> <br />1 $691 to $828 $829 to $965 $966 to $1102 $1103 and over <br />2 $926 to $1110 $1111 to $1295 $1296 to $1479 $1480 and over <br />3 $1161 to $1393 $1394 to $1625 $1626 to $1856 $1857 and over <br />4 $1397 to $1675 $1676 to $1954 $1955 to $2232 $2233 and over <br />5 $1632 to $1958 $1959 to $2284 $2285 to $2609 $2610 and over <br />6 $1868 to $2122 $2123 to $2613 $2614 to $2986 $2987 and over <br />7 $2103 to $2523 $2524 to $2943 $2944 to $3362 $3363 and over <br />8 $2339 to $2805 $2806 to $3273 $3274 to $3739 $3740 and over <br />9 $2574 to $3088 $3089 to $3602 $3603 to $4116 $4117 and over <br />10 $2809 to $3370 $3371 to $3932 $3933 to $4492 $4493 and over <br />11 $3045 to $3653 $3654 to $4261 $4262 to $4869 $4870 and over <br />12 $3280 to $3935 $3936 to $4591 $4592 to $5246 $5247 and over <br /> <br />NOTE; No voucher should be given if client has Medicare B. <br /> <br />Vouchers will be issued by the Cabarrus County Health Department to help women <br />to pay part of the cost of a mammogram. The patient will schedule an appointment <br />with one of the providers, H & M Medical Clinic and The Radiology Clinic, and <br />present the voucher at the time of the appointment. The provider will deduct <br />the appropriate amount from the patient's bill and charge it to the Health <br />Department. The patient will be responsible for the balance of the bill. <br /> <br /> Dr. William F. Pilkington, Health Director, reviewed the bids which were <br />received for engineering consulting services for a vertical lift at the County <br />Landfill. He noted that only two of the proposals (Law Environmental and HDR) <br />conformed with the minimum requirements specified in the Request for Proposals. <br />The bids were as follows. <br /> <br /> <br />