reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.80 - Newborn Nursery (NBN)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1.
				  Newborn Nursery provides nursing care to newborns on the basis of pediatricians'
				  orders and approved nursing care plans. Newborn Nursery should include all normal
				  care newborns. Bassinets maintained for infants other than newborn (pediatrics)
				  should be included here. Medical and Surgical Supplies should be reported in
				  accordance with 8:31B-4.55.
2. Functions include constant observation of
				  newborns; checking on progress of newborns; feeding and diapering newborns;
				  assisting pediatricians during examination and treatment; operating special
				  equipment; dispensing prescribed medication; educating new mothers on infant care;
				  maintaining newborns' charts; requisitioning and sorting medical supplies, drugs,
				  and infant formulae; and scheduling newborns for ancillary services.
3. Costs associated with units designated by the
				  Department as perinatal centers should be reported in this cost center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.81 - Emergency Services (EMR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Emergency Services provide emergency treatment
				  to sick and injured patients requiring medical care on an immediate, unscheduled
				  basis. Also included are non-emergency type patients who request outpatient
				  treatment on an unscheduled basis in the Emergency Room.
2. Functions include assisting critical patients
				  to and from vehicles; expediting treatment for critical patients for ancillary
				  services; coordinating emergency admissions; operation of an ambulance; operation of
				  cast room; assisting physicians in emergency treatment; cleaning and dressing
				  wounds; applying casts; maintaining aseptic conditions; monitoring of vital life
				  signs.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.82 - Clinics (CLN)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Clinics provide organized non-emergency
				  diagnostic, preventive, curative, rehabilitative and educational services on a
				  primarily scheduled basis to ambulatory patients, including those referred by
				  private physicians.
2. This center
				  should include the costs and revenues associated with operating organized clinics
				  for all purposes. Examples of organized clinics include Alcoholism, Dental,
				  Diagnostic, Diabetes, Drug Abuse, Employee Health, ENT, Health Centers, General
				  Clinic, Guidance Counseling, Obstetrics/Gynecology, Ophthalmology, Pediatrics,
				  Physical Medicine, Psychiatric Day Care and Speech. The costs and revenues
				  associated with an organized Ambulatory Renal Dialysis Unit should be reported in
				  the Dialysis (DIA) center. Medical and Surgical Supplies should be reported in
				  accordance with 8:31B-4.55. The cost and revenue of
				  operating clinics that are a branch of the institution are included in Clinics
				  (CLN).
3. Functions include assisting
				  physicians in treatments and examinations; health guidance and counseling;
				  scheduling and arranging for other hospital services for patient; referring
				  ambulatory patients requiring prolonged or specialized care to appropriate services;
				  and participating in community activities designed to promote health
				  education.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.83 - Off-Site Health Services (OHS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
Offsite Health Services encompass health care services rendered
					 to patients outside the facility and branches of the facility. This cost center
					 includes the direct costs (supplies, leased equipment, etc.) of all services to
					 patients which are not defined as emergency room, clinic or private ambulatory
					 patients. Services include home health care, community nursing, and offsite
					 psychiatric services. Examples of functions included are travel, operating
					 specialized equipment, nursing care, counseling, educating, rendering treatments and
					 advising patients about the availability of specific health services.
(b) A home health agency provides care
				  to patients normally at their place of residence in accordance with the definition
				  of services contained in Medicare Provider Reimbursement Manual, Publication 15,
				  Part II, Chapter 36, Hospital and Hospital Heath Care Complex Cost Report,
				  incorporated herein by reference and available at
www.CMS.hhs.gov/manuals/cmsindex.asp
.
				  Expenses and revenues of ancillary services performed at homes of patients serviced
				  under a home health program should be reported in the appropriate ancillary service
				  center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.84 - Skilled Nursing Facility (SNF)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) For reporting
				  purposes, the definition of a Skilled Nursing Facility contained in the Health
				  Insurance for the Aged Program, Title XVIII of the Social Security Act and N.J.A.C.
				  8:39 shall be incorporated herein by reference.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.85 - Anesthesiology (ANS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Anesthesiology is a hospital based service
				  conducted under the direction of either a qualified physician trained in
				  anesthesiology (i.e., an anesthesiologist) or the operating surgeon.
2. Anesthesia gases and other anesthesia supplies
				  and minor moveable equipment if not individually charged to the patient are to be
				  reported in Anesthesiology. The costs of anesthesiologists' compensation and any
				  other costs associated with anesthesiologists' practice (i.e., employees of the
				  physician, supplies the physician purchases through their private practice, etc.),
				  as well as the revenue generated by the anesthesiologist and anyone under the
				  physician's employment, are to be reported to the extent that the anesthesiologists'
				  compensation is provided through agreement with the hospital. Cost associated with
				  nurse anesthetists employed by the hospital are also to be reported here.
3. Functions include obtaining laboratory findings
				  and patient's anesthetic history prior to administration of anesthetics;
				  administering anesthetics; recording kind and amount of anesthetic administered;
				  observing patient's condition until all effects of anesthesia have passed;
				  accompanying patient to recovery room or intensive care unit; administering
				  treatment to patients having symptoms of post anesthetic complication; prescribing
				  pre-and post-anesthesia medications; and carrying out safeguards for administration
				  of anesthetics.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.86 - Cardiac Catheterization (CCA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Cardiac Catheterization includes all invasive
				  cardiac diagnostic procedures performed in dedicated or non-dedicated cardiac
				  catheterization or coronary angiographic laboratories. Cardiac catheterization
				  procedures are performed in a limited number of hospitals that are designated as
				  cardiac diagnostic facilities or regional cardiac surgical centers. Medical and
				  Surgical Supplies should be reported in accordance with
				  8:31B-4.55.
2. Functions include preparation of patients for
				  testing; explaining test procedures to patients; inspecting, testing and maintaining
				  special equipment; and achieving optimal quality physiological and coronary
				  angiographic studies.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.87 - Delivery and Labor Rooms (DEL)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Delivery and Labor Rooms provide nursing care
				  by specially trained personnel to obstetrical patients and patients having
				  gynecological procedures performed in the Delivery Suite. Cesarean sections are to
				  be included if they are performed in a delivery room. Costs of routine housekeeping
				  functions (i.e., those conducted throughout the hospital) performed by delivery and
				  labor personnel are to be included in the Housekeeping center--only specialized
				  clean-up procedures unique to Delivery and Labor Rooms functions are to be included
				  in Delivery and Labor. Medical and Surgical Supplies should be reported in
				  accordance with 8:31B-4.55.
2. Functions include maintaining aseptic
				  conditions; enforcing of safety rules and standards; arranging sterile setup for
				  deliveries; monitoring patient and caring for patient's needs while in labor and in
				  recovery; transporting patients within the labor and delivery suite; preparing for
				  delivery; comforting the patient during delivery; assisting the physician during
				  delivery; fetal heart monitoring; amniocentesis (if performed in the delivery
				  suite); circumcision of male newborns; and cleaning up after delivery to the extent
				  of preparation for pickup and disposal of used linen, instruments, utensils and
				  waste.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.88 - Dialysis (DIA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function: Dialysis
				  is a hospital based service employing the use of an artificial kidney machine for
				  cleansing the blood. Dialysis includes both hemodialysis and peritoneal dialysis
				  procedures. The inclusion of Dialysis take-home supplies, if not individually
				  charged, and other costs and revenues is in accordance with Medicare Provider
				  Reimbursement Manual, Publication 15, Part II, Chapter 36, Hospital and Hospital
				  Health Care Complex Cost Report, incorporated herein by reference and available at
www.CMS.hhs.gov/manuals/cmsindex.asp
.
				  Dialysis take-home and other supplies individually charged for are to be reported in
				  Medical and Surgical Supplies Sold, whether sold or rented, if such supplies are
				  included per Medicare manuals.
(b) Units
				  of Service: Treatments.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.89 - Drugs Sold to Patients (DRU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. The Drugs Sold to Patients center is used for
				  the accumulation of the invoice cost and corresponding revenue of all
				  pharmaceuticals and intravenous solutions individually charged to patients including
				  chemotherapy drugs. The invoice/inventory cost of non-charged (pharmaceuticals) or
				  I.V. solutions issued by the Pharmacy to other centers shall be transferred to the
				  using centers, preferably on a monthly basis. If such items are sold in other
				  centers, the cost of those items must be transferred to this center. The overhead
				  cost of preparing and issuing drugs and I.V. solutions sold directly to patients
				  must be accumulated in the Pharmacy center.
2. Medically prescribed food supplements, if
				  charged directly to patients are included in Drugs Sold to Patients. Cost and
				  revenue associated with blood (that is, whole blood and packed red cells) and blood
				  components (that is, fibrinogen, gamma globulin) are to be excluded from the
				  Laboratory center and reported as a reconciliation per N.J.A.C. 8:31B-4 and
				  8:31B-4.91. Excluded from this center
				  are the cost and revenue associated with drugs furnished to a patient for use after
				  his episode of hospital care (except for those items where it would be medically
				  unreasonable to limit the patient's use to the episode of hospital care). Included
				  in the center are the cost and revenue associated with drugs and I.V. solutions sold
				  under renal dialysis and home health agency programs as specified in Medicare
				  Provider Reimbursement Manual, Publication 15, Part II, Chapter 36, Hospital and
				  Hospital Heath Care Complex Cost Report, incorporated herein by reference and
				  available at
www.CMS.hhs.gov/manuals/cmsindex.asp
.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.90 - Electrodiagnosis (EDG)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Electrocardiology is a hospital service that
				  utilizes specialized electrical equipment to record electromotive variations in
				  actions of the heart muscle on an electrocardiograph for diagnosis of heart ailments
				  under the direction of a qualified physician. The cost incurred and revenue
				  generated by personnel or equipment for electrocardiology procedures continuously
				  available as part of the functions of other centers (i.e., Intensive or Coronary
				  Care Units, Operating and Recovery Rooms, Diagnostic Radiology, and Cardiac
				  Catheterization) should be included in those centers.
2. The cost of cardiologists' compensation as well
				  as the revenue generated by cardiologists are to be reported to the extent that the
				  cardiologists' compensation is provided through agreement with the
				  hospital.
3. Functions include wheeling
				  portable equipment to patient's bedside; conducting stress tests; explaining test
				  procedures to patient; operating electrocardiograph equipment; inspecting, testing
				  and maintaining special equipment; and attaching and removing electrodes from
				  patients.
4. This center provides
				  diagnostic neurology services such as electroencephalography and electromyography
				  under the direction of a qualified physician. Specialized equipment is used to
				  record electromotive variations in brain waves and to record electrical potential
				  variation for diagnosis of muscular and nervous disorders.
5. The costs of compensation of physicians
				  involved in diagnostic neurology as well as the revenue generated by these
				  physicians for their activities are to be reported to the extent that their
				  compensation is provided through an agreement with the hospital.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.91 - Laboratory (LAB)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Laboratory is normally a hospital based
				  pathological or clinical service conducted under the direction of a qualified
				  pathologist. All laboratory operations, including subsidiary laboratories of the
				  hospital, should be included here, whether purchased from outside or performed by
				  the hospital laboratory. Services provided for outside institutions are to be
				  excluded and reported as a reconciliation per N.J.A.C. 8:31B-4, Part IV. Include all
				  fields of laboratory work, such as Autopsy, Blood Bank, Chemistry, Cytology,
				  Hematology, Histology, Immunology, and Microbiology. Included are laboratory work in
				  poison and infection control, epidemiology (including nursing epidemiology work),
				  and coagulation testing. Infection control officer costs not related to laboratory
				  work should be apportioned to benefiting patient care areas. The revenue and cost of
				  performing blood gas analyses are to be included in the Respiratory Therapy center,
				  and pathologist compensation costs and revenues related to Nuclear Medicine should
				  be included in that center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.92 - Medical and Surgical Supplies Sold (MSS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. The Medical and Surgical Supplies Sold center
				  is used for the accumulation of the invoice cost and revenue of all medical and
				  surgical supplies and equipment sold or rented directly to patients. The
				  invoice/inventory cost of non-charged supplies and equipment issued by the Central
				  Supply Service center to other centers shall be transferred to the using centers,
				  preferably on a monthly basis. If such items are sold in other hospital centers, the
				  cost and revenue of those items must be transferred to this center. The overhead
				  cost of preparing and issuing medical and surgical supplies and equipment sold or
				  rented directly to patients must be accumulated in the Central Supply Services
				  center.
2. Excluded from this center are
				  the cost and revenue associated with supplies furnished to a patient for use after
				  his episode of hospital care (except for those items where it would be medically
				  unreasonable to limit the patient's use to the episode of hospital care, for
				  example, pacemakers, permanent prostheses, etc., and take-home Dialysis and Home
				  Health Agency supplies included per Medicare Provider Reimbursement Manual,
				  Publication 15, Part II, Chapter 36, Hospital and Hospital Heath Care Complex Cost
				  Report, incorporated herein by reference and available at
www.CMS.hhs.gov/manuals/cmsindex.asp
.)
				  Rather, the costs and revenues associated with such items are to be reported as
				  reconciliations per instructions in N.J.A.C. 8:31B-4.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.94 - Nuclear Medicine (NMD)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Nuclear Medicine is a hospital based service
				  which provides diagnosis and treatment of patients by injectible or ingestible
				  radioactive isotopes under the direction of a qualified physician.
2. Costs shared with Therapeutic Radiology,
				  Diagnostic Radiology, and Laboratory, such as radiologists, pathologists, radiology
				  office expense and maintenance costs should be apportioned among the benefiting
				  centers. The cost of compensation of physicians involved in Nuclear Medicine, as
				  well as the revenue they generate, are to be reported to the extent that their
				  compensation is provided through agreement with the hospital.
3. Functions include consultation with patient and
				  attending physician; radioactive waste disposal; and storage of radioactive
				  materials.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.95 - Other Physical Medicine (OPM)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Occupational therapy is the application of
				  purposeful, goal-oriented activity, under the direction of a registered therapist
				  and medical director, in the evaluation, diagnosis, and/or treatment of persons
				  whose function is impaired by physical illness or injury, emotional disorder,
				  congenital or developmental disability, or the aging process, in order to achieve
				  optimum functioning, to prevent disability, and to maintain health. Recreational
				  therapy is the employment of sports, dramatics, arts and other recreational
				  programs, under the direction of a registered therapist and medical director to
				  stimulate the patient's recovery rate.
i. The cost
				  of compensation of physicians involved in occupational and recreational therapy as
				  well as the revenue generated by these physicians for their activities are to be
				  reported to the extent that their compensation is provided through agreement with
				  the hospital.
ii. Functions include
				  education and training in activities of daily living (ADL); the design, fabrication,
				  and application of splints; sensorimotor activities; the use of specifically
				  designed crafts; guidance in the selection and use of adaptive equipment;
				  therapeutic activities to enhance functional performance; prevocational evaluation
				  and training; and consultation concerning the adaption of physical environments for
				  the handicapped; continuing and organizing instrumental and vocal musical
				  activities; and directing activities of volunteers in respect to these functions.
				  These services are provided to individuals or groups.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.96 - Operating and Recovery Rooms (ORR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Operating and Recovery Rooms provide surgical
				  services to both inpatients and outpatients. These rooms are staffed with specially
				  trained personnel who assist the surgeon during operations and the patient
				  immediately thereafter. Cost of and revenue from rooms used for minor and ambulatory
				  surgery or special procedures (e.g., cystoscopy, endoscopy, gastroscopy) other than
				  a surgical clinic should be included here. Also included are the cost and revenue
				  associated with surgical dental services provided to patients.
2. Costs of routine housekeeping functions (i.e.,
				  those conducted throughout the hospital) performed by Operating and Recovery Room
				  personnel are to be reported in the Housekeeping center. Only the cost of
				  specialized cleaning procedures unique to Operating and Recovery Rooms and performed
				  by Operating and Recovery Room personnel are to be reported in the Operating and
				  Recovery Room Center. Medical and Surgical Supplies are to be reported per
				  8:31B-4.55.
3. Functions include the requisitioning of
				  instruments, utensils, medical supplies, and drugs required for surgery; inspecting,
				  testing and maintaining specialized surgical equipment; maintaining aseptic
				  techniques; enforcing of safety rules and standards; assisting in preparing patients
				  for surgery (only while in the O.R.; exclude prep work done on patient floors);
				  assisting the surgeon during operations; counting of sponges, needles and
				  instruments used during operations; preparing patients for transportation to
				  recovery room; monitoring patient and caring for patient's needs while recovering
				  from anesthesia; and pickup and disposal of used linen, instruments, utensils and
				  waste.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.97 - Blood Bank (BBK)

Current through Register Vol. 56, No. 14, July 15, 2024
The Blood Bank cost center includes the procedure (drawing),
					 receiving, storing, typing and crossmatching of whole blood, blood components and
					 blood products. Purchase cost of and patient payments for blood and blood products
					 are to be excluded and reported per N.J.A.C. 8:31B, Part IV. The costs associated
					 with procuring blood donations are to be included in Blood Bank, but payments to
					 donors are to be excluded and reported as a reconciliation per N.J.A.C.
					 8:31B-4.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.98 - Physical Therapy (PHT)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Physical Therapy is a service employing
				  therapeutic exercises and massage, and utilizing effective properties of light,
				  heat, cold, water, and electricity in diagnosis and rehabilitation of patients with
				  neuromuscular, orthopedic, and other disabilities under the medical direction of a
				  physiatrist or other qualified physician. Physical Therapy services include the
				  provision of clinical and constructive services and the direction of patients in the
				  use, function, and care of braces, artificial limbs, and other devices. This center
				  includes the cost of physical therapy related medical supplies, materials and
				  equipment not requisitioned from Central Supply Services and for which a separate
				  charge is not made to a patient.
2. The
				  cost of all supplies and equipment furnished to a patient for use after his episode
				  of hospital care (e.g., crutches, elastic bandages, etc.) but excluding items where
				  it would be medically unreasonable to limit the patient's use of the item to his
				  episode of hospital care (e.g., customized braces, prostheses, etc.) is to be
				  excluded from this center and is to be reported as per N.J.A.C. 8:31B-4, Part
				  IV.
3. Functions include prescription of
				  therapeutic exercises; counseling of patients and relatives; organizing and
				  conducting medically-prescribed physical therapy programs; application of diagnostic
				  muscle tests; administration of whirlpool and compact baths; changing of linen on
				  beds and treatment tables; and assisting patients in changing clothes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.100 - Radiology, Diagnostic (RAD)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Diagnostic Radiology is normally a hospital
				  based service conducted under the direction of a qualified radiologist, and includes
				  procedures such as angiograms (except coronary angiograms), arteriograms,
				  computerized axial tomography scans, and echograms (ultrasonography).
2. Cost shared with Therapeutic Radiology and
				  Nuclear Medicine such as radiologists, radiology office expense and maintenance
				  costs should be apportioned among the benefiting cost centers. The salaries of
				  personnel such as bioengineers, assigned substantially full-time for the purpose of
				  maintaining, testing and inspecting Diagnostic Radiology equipment are to be
				  reported here.
3. The cost of
				  compensation of radiologists as well as the revenue they generate are to be reported
				  in this center to the extent that their compensation is provided through agreement
				  with the hospital.
4. Functions include
				  taking, processing, examining and interpretation of radiographs and fluorographs;
				  consultation with patient and attending physicians; storage of radioactive
				  materials; and radioactive waste disposal.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.101 - Respiratory Therapy (RSP)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Respiratory Therapy is a hospital based service
				  for diagnosis and treatment of pulmonary diseases. This includes pulmonary function
				  testing, the administration of oxygen and certain potent drugs through inhalation or
				  positive pressure, and other forms of rehabilitative therapy, under the direction of
				  a qualified physician. Pulmonary function testing is the testing and thorough
				  measurement of inhaled and exhaled gases and analysis of blood, and evaluation of
				  the patient's ability to exchange oxygen and other gases.
2. The cost of compensation of pulmonary
				  physicians involved in rendering respiratory diagnostic and therapeutic services as
				  well as the revenue generated by these physicians for such activities, are to be
				  reported to the extent that these physicians' compensation is provided through
				  agreement with the hospital.
3. Included
				  in this center are the costs of and revenue generated from all gases administered to
				  patients, excluding the costs and revenue associated with gases administered as part
				  of the anesthetizing process which are included in the Anesthesiology
				  Center.
4. Functions include
				  transporting therapy equipment to patient's bedside; setting up and operating
				  various types of oxygen and other therapeutic gas and mist inhalation equipment;
				  blood gas testing; observing and instructing patients during therapy; visiting all
				  assigned respiratory cases to insure that physicians' orders are being carried out;
				  inspecting and testing equipment; and enforcing safety rules.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.103 - Therapeutic Radiology (THR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Therapeutic Radiology is a hospital based
				  service providing therapy by radium and other radioactive substances, including
				  cobalt therapy and linear accelerator treatment, under the direction of a qualified
				  radiologist.
2. Costs shared with
				  Diagnostic Radiology and Nuclear Medicine, such as radiologists, radiology office
				  expense and maintenance costs including salaries of bioengineering personnel, should
				  be apportioned among the benefiting centers.
3. The cost of compensation of radiologists
				  involved in therapeutic radiology as well as the revenue they generate are to be
				  reported to the extent that their compensation is provided through agreement with
				  the hospital.
4. Functions include
				  consultation with patient and attending physician; operation of specialized
				  equipment; storage of radioactive material; disposal of radioactive waste; and
				  inspecting, testing and maintaining specialized equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.104 - Central Sterile Supply (CSS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Central Supply Services prepares and issues
				  medical and surgical supplies and equipment, except pharmaceuticals and I.V.
				  solutions, to patients and to other cost centers.
2. The invoice cost of non-charged supplies and
				  equipment issued to other centers shall be transferred to the using centers,
				  preferably on a monthly basis. The invoice cost of charged medical supplies shall be
				  transferred to the Medical and Surgical Supplies Sold center, preferably on a
				  monthly basis.
3. The cost of
				  non-charged reusable medical supplies and equipment requisitioned from CSS by
				  different centers (e.g., respirators) are to be reported in the Central Supply
				  Service center. Costs associated with non-charged reusable medical supplies and
				  equipment requisitioned from only one center are to be reported in that
				  center.
4. Functions include
				  requisitioning and issuing of appropriate supply items required for patient care;
				  preparing sterile irrigating solutions; collecting, assembling, sterilizing, and
				  redistributing reusable items; and cleaning, assembling, maintaining, and issuing
				  portable apparatuses.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.105 - Other General Services (OGS)

Current through Register Vol. 56, No. 14, July 15, 2024
The Other General Services cost center should include general
					 service activities which may vary between hospitals such as: elevator operation;
					 grounds maintenance; maintenance of personnel (excluding dormitories for students
					 and residents); medical library; medical photography; motor pool; plant security and
					 property taxes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.106 - Dietary (DTY)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Dietary is responsible for the procurement,
				  storage, processing of food, delivery and collection of trays and nourishment to
				  nursing units or outpatient centers. Costs of delivery of trays to the patient once
				  trays have been prepared or have arrived at the nursing unit should be reported in
				  the appropriate Routine Service center. The cost of preparing meals for cafeterias,
				  residents, students, visitors, or house physicians should be reported as per
				  8:31B-4.62 through 4.66 and
				  8:31B-4.131 for luxury and guest meals
				  per 8:31B-4.62 through 4.66 and
				  8:31B-4.131. Cost and Revenue of food
				  supplements where charged to patients should be reported in the Drugs Sold to
				  Patients center.
2. Functions include
				  preparing diet manuals; recommending diets; preparing selective menus for various
				  diet requirements; recording diet history; nutrition counseling; determining patient
				  food preferences as to type and method of preparation; food storage and
				  preparations; transportation of food trays to and from nursing units; stocking
				  formula room; cashiering; dishwashing; and maintaining sanitary standards in all
				  facilities.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.107 - Housekeeping (HKP)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Functions:
1. Housekeeping is responsible for the maintenance
				  of a clean and sanitary environment in the institution. The cost of routine
				  cleansing of all areas, excluding Dietary (DTY) and Boiler Room (RPM) should be
				  included in Housekeeping. The cost of housekeeping to non-acute care areas
				  8:31B-4.62 through 4.66 gift and coffee
				  shops, 8:31B-4.62 through 4.66 offices rented
				  or maintained for fund raising,
				  8:31B-4.67 or non-approved education
				  8:31B-4.62 through 4.66, and research
				  programs 8:31B-4.64(b), and for
				  the room and board of employees, students, or others
				  8:31B-4.62 through 4.66, as well as the
				  expense and revenue of providing housekeeping to entities outside of the hospital
				  8:31B-4.62 through 4.66 should not be
				  reported here, but should be reported per
				  8:31B-4.131. Specialized clean-up
				  activities associated with direct care of patients in nursing units and outpatient
				  and ancillary centers should be reported in those centers.
2. Functions include maid service; janitorial
				  service; transporting trash to plant staging areas; mopping, stripping and waxing
				  floors; washing of walls, ceilings, partitions and windows (inside and outside);
				  stripping, disinfecting and making beds; and moving furniture and
				  fixtures.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.108 - Laundry and Linen (L and L)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function: Laundry
				  and Linen is responsible for the requisitioning, laundering, distribution, control
				  and mending of linen, bedding, wearing apparel, and disposable linen substitutes
				  used by the institution. The purchased cost and maintenance of all wearing apparel,
				  as well as all linen, bedding, etc. are included. The cost of providing laundry and
				  linen services to non-acute care units (see
				  8:31B-4.62 through 4.66) and for the
				  room and board of employees, students, and others (8:31B-4.62 through 4.66) should not be
				  included in this center but reported per
				  8:31B-4.131.
(b) Statistics: Pounds of Laundry
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.109 - Medical Records (MRD)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1.
				  Medical Records is responsible for creating and maintaining a medical record for all
				  patients and for maintaining a tumor registry in accordance with Department
				  requirements. The revenue and cost associated with medical records transcriptions
				  for persons outside of the hospital should be reported as reconciliations per
				  N.J.A.C.
				  8:31B-4.62 through 4.66.
2. Functions include coding; typing; abstracting;
				  filing; indexing; accessing; preparing birth and death certificates; processing
				  court and other types of inquiries; maintaining and reporting data, such as patient
				  days, visits, ancillary services, and statistics, by patient, disease, physician,
				  and operation; and coordinating the flow of statistics with certain hospital
				  stations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.110 - Pharmacy (PHM)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. The Pharmacy procures, preserves, stores,
				  compounds, manufactures, packages, controls, assays, dispenses, and distributes
				  medications (including I.V. solutions) for inpatients and outpatients under the
				  jurisdiction of a licensed pharmacist. Pharmacy services include the maintaining of
				  separate stocks of commonly used items in designated areas.
2. The invoice cost of non-charged pharmaceuticals
				  issued to other cost centers shall be transferred to the using cost centers,
				  preferably on a monthly basis. The invoice cost of charged pharmaceuticals and I.V.
				  solutions shall be transferred to the Drugs Sold to Patients center, preferably on a
				  monthly basis.
3. Functions include
				  development and maintenance of formulary(ies) established by the medical staff and
				  consultation and advice to medical staff and nursing staff on drug therapy; adding
				  drugs to I.V. solutions; determining incompatibility of drug combinations; and
				  stocking of floor drugs and dispensing machines.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.111 - Patient Care Coordination (PCC)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. Patient Care Coordination encompasses
				  utilization review, coordination of pre-admission testing, patient representatives,
				  admission reviews, patient care evaluation and social services. Social Services
				  obtains, analyzes, interprets social and economic information to assist in
				  diagnosis, treatment and rehabilitation of patients. These services include
				  counseling of staff and patients in case units and group units; participation in
				  development of community social and health programs and community education.
				  Revenues received by hospitals should not be reported here, but should be reported
				  with the routine or ambulatory revenue centers where social services were provided
				  and billed for.
2. Functions include
				  interviewing of patients and relatives to obtain a social history relevant to
				  medical problems and planning; interpreting problems of social situations as they
				  relate to medical condition and/or hospitalization; arranging for post discharge
				  care of chronically ill; collecting and revising information on community health and
				  welfare resources.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.112 - Plant (PLT)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Plant center is
				  responsible for maintenance and operation of an institution's buildings and
				  equipment in a state of readiness required to perform hospital operations. Repairs
				  and maintenance of physical plant not used for services related to patient care (for
				  example, rental of apartments) should be reported as reconciliations per N.J.A.C.
				  8:31B-4 and 8:31B-4.131. Renovation of capital
				  assets shall be distinguished from Repairs and Maintenance and capitalized with the
				  asset according to the criteria described in
				  8:31B-4.20.
(b) The maintenance and repair of specialized
				  equipment in areas such as Diagnostic Radiology, Therapeutic Radiology, or
				  Laboratory should be reported as costs in those cost centers. Bio-medical engineers
				  should be treated in this manner.
(c)
				  Functions include all maintenance of buildings and plant equipment including
				  painting, maintenance of movable equipment to the extent done by institutional
				  employees, and minor improvements and renovation of building and plant
				  equipment.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.113 - Building and fixed equipment (BLD)

Current through Register Vol. 56, No. 14, July 15, 2024
Building and fixed equipment depreciation shall be reported in
					 this cost center. This cost center also includes the costs of leasing and
					 depreciation of building and building equipment; improvements to land, buildings and
					 leaseholds; plant major and minor movable equipment not reported in other cost
					 centers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.114 - Physicians (PHY)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Physicians cost
				  center includes services directly or indirectly related to patient care such as:
				  identifiable medical services by the physician which contribute to the diagnosis of
				  the patient's condition or treatment, teaching, research conducted in conjunction
				  with and as part of patient care (to the extent that such costs are not met by
				  special research funds), administration, general supervision of technical personnel,
				  laboratory quality control activities, committee work, performance of autopsies, and
				  attending conferences as a part of the physicians' hospital service
				  activities.
(b) The Physicians cost
				  center includes the cost of hospital staff physicians, including the chief of staff,
				  director of medical education, department chiefs and attending physicians and the
				  cost of maintaining their offices. The cost of physician coverage in the outpatient
				  cost centers and physicians who administer and/or conduct the functions of other
				  ancillary cost centers described in this chapter should not be included in the
				  physicians cost center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 31B - HOSPITAL FINANCIAL REPORTING › Subchapter 4 - FINANCIAL ELEMENTS AND REPORTING › Part II - GENERAL GUIDANCE › Section 8:31B-4.115 - Education and Research (EDR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Function:
1. This center administers, manages, and carries
				  on research projects of the National Institutes of Health or other projects approved
				  by the NIH. Approved research should be reported per
				  8:31B-4.62 through 4.66. Separate
				  accounting should be maintained for each research activity in accordance with
				  relevant contracts, grant agreements, or because of restrictions made on donations.
				  Revenue received for research activities such as specific purpose grants should be
				  recorded as reconciliations per
				  8:31B-4.62 through 4.66. This center
				  includes expenses related to fellowships.
2. Education includes the costs of formal
				  educational programs for nursing and allied health, inservice education programs in
				  the hospital or for extensive periods outside the hospital. Nursing and allied
				  health education provides organized programs, approved by an organization which
				  recognizes the professional status of health services educational programs at the
				  national level, of nursing and medical related clinical education other than for
				  physicians. Hospitals may either operate a school or provide the clinical training
				  activities leading to the issuance of a degree by a college or university.
3. Included here are expenses related to the
				  upkeep of student rooms and dormitories, except for the salaries of housekeeping,
				  plant operations and laundry personnel, which should be charged to their respective
				  cost centers. Related revenues such as tuition, grants and non-approved education
				  costs and revenue should be reported per
				  8:31B-4.62 through 4.66.
4. Functions include selecting qualified students;
				  providing education in theory and practice conforming to approved standards;
				  maintaining student personnel records; counseling of students regarding
				  professional, personal and educational problems; selecting faculty personnel,
				  assigning and supervising students in giving medical or nursing care to selected
				  patients; and administering aptitude and other tests for counseling and selection
				  purposes.