DOH Reports Definitions

Report Name

Path

Definition

Contract Revenue Report

Report > DOH

Report for the DOH that provides a revenue summary for the specified time frame, by contract broken down by Discipline.

Patient Form

Report > DOH

Report for the DOH that summarizes census counts and discharge statistics for the specified time frame. This report may be generated for all contracts or a single contract.

Contract Service by County

Report > DOH

This DOH report provides, for each county, Patient, visit and visit hour totals for all contracts.

Services by County

Report > DOH

For the purpose of DOH reporting, this report tallies the number of Patients with visits by county, then by Discipline in the time frame specified. This report also breaks down these statistics into age and gender groupings.

DOH Caregiver Sub-Contracting

Report > DOH > Archived Report

This DOH report lists the total number of billed hours and the rate per hour by service code for each contract, for billed visits within the specified time frame. Live-Ins are counted as 13 hours.

DOH COVID-19 LHCSA Report

Report > DOH > DOH COVID-19 LHCSA Report

This DOH report is a questionnaire regarding COVID-19, completed by HHA for LHCSAs.

DOH Cost Report

Report > DOH > DOH Cost Report

A suite of reports to assist Providers to complete the DOH Cost Report. Refer to the DOH Cost Report Guide for more information about each specific report in the suite.