The operational costs of delivering healthcare services

Which element of the relative value unit accounts for the operational costs of delivering healthcare services, such as rent, wages of technical personnel, and supplies and equipment? These are financial protections that were created to ensure that certain types of facilities (that is, cancer hospitals and children’s hospitals) recoup losses incurred due to payment differences between the OPPS and pre-OPPS (reasonable cost) payments. Under the Ambulance Fee Schedule, the __________ is used to determine the level of service for ground transport.