reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.31 - Non-operating revenues (net of expenses)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Income, net of expenses, or Investment in Rental Property to physicians or others shall be excluded from Revenue Related to Patient Care and treated as Case A.
(b) Income or Investment, net of transaction expense, of Operating Fund and/or interest income from financial charges on delinquent accounts receivable shall be applied as offsets against Costs Related to Patient Care and treated as Case B.
(c) Income or Investments, net of transaction expense, of Board Designated Funds shall not be included in Costs Related to Patient Care and treated as Case C.
(d) Unrestricted Income from Donor Restricted Plant and Endorsement Funds shall not be included in Revenue Related to Patient Care and treated as Case C.
(e) Transfer from Restricted Funds, other than Specified Purpose Funds (that is, expenditures from principal and interest on gifts which are donor restricted) shall not be included as Revenue Related to Patient Care and treated as Case C.
(f) Unrestricted Donations, net of fund raising costs, shall not be included at Revenue Related to Patient Care and treated as Case C.
(g) Transfer of Specific Purpose Funds to the Unrestricted Fund and Specific Purpose Grants and other funds received from the Federal Government, New Jersey State Government, New Jersey Heart Association, or other governmental or charitable organizations shall be offset against Costs Related to Patient Care (with the exception of those from the Graduate Medical Education Program for primary care residency programs in Family Practice, Internal Medicine, Pediatrics or Obstetric/Gynecology). However, grants on behalf of the medically indigent shall be reported as contra-deducted from Gross Revenue Related to Patient Care (operating). "Seed Money" received with a grant shall be similarly offset against operating expenses unless this results in grants being withheld from New Jersey institutions (Case B).
(h) Primary Care Residency Specific Purpose Grants and income from primary care residency specific purpose funds (that is grants for the support of LCGME approved residency program in Internal Medicine, Pediatrics, Obstetrics/Gynecology and Family Practice) shall not offset the costs of such programs and treated as Case C.
(i) Interest Income on Trustee-held funds related to borrowings or loans is a Case B, unless a hospital is prohibited from using the funds to offset current debt service obligations. If the hospital is prohibited from using the funds, the interest and income earned shall be a Case C until these funds are released for the hospital's benefit.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.32 - Reporting of costs and revenues

Current through Register Vol. 56, No. 14, July 15, 2024
Costs and Revenues Related to Patient Care shall be reported in accordance with 10:52-6.33 through 6.77.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.33 - Medical-Surgical Acute Care Units (MSA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions of the Medical-Surgical Acute Care Units (MSA) included in the MSA cost center are as follows:
1. Medical-Surgical Acute Care Units provide care to patients on the basis of physicians' orders and approved nursing care plans. Medical-Surgical Acute Care shall include the cost and revenue associated with services to all patients treated in beds normally designated as Medical-Surgical, regardless of the clinical specialty of attending physicians or age of the patient. Include the cost and revenue of beds designated as definitive observation or intermediate care (such as, "step down") beds.
2. Revenue generated from charge differentials between private and semi-private rooms (except those assigned for medical necessity) shall be reported here, and also reported as reconciling items. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
3. Functions include serving and feeding of patients; collecting sputum, urine, and feces samples; monitoring of vital signs; operating of specialized equipment related to this function; preparing of equipment and assisting physicians during patient examination and treatment; changing dressings, cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction to drugs; administering specified medications; infusing intravenous fluids; answering patients' call signals; and keeping patients' room (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.34 - Obstetric Acute Care Unit (OBS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Obstetric Acute Care Unit (OBS) cost center are as follows:
1. The provision of care to the mother before, during, and following delivery on the basis of physicians' orders and approved nursing care plans shall be provided in the Obstetric Acute Care Unit. Obstetrics may include services to clean gynecological patients treated in beds licensed by the Department of Health as obstetrics.
2. All revenue generated from charge differentials between private and semi-private rooms (except those assigned for medical necessity) shall be reported as reconciling items. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
3. Functions shall include: instructing of mothers in postnatal care and care of the newborn; feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital signs; operating specialized equipment related to this function; preparing of equipment and assistance of physicians in changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction of drugs; administering specified medications; infusing intravenous fluids; answering patients' call signals; and keeping patients' rooms (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.35 - Pediatric Acute Care Units (PED)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Pediatric Acute Care Units (PED) cost center are as follows:
1. Pediatric Acute Care Units provide care to Pediatric patients (normally children less than 14 years of age and including "boarder patients") in Pediatric nursing units on the basis of physicians' orders and approved nursing care plans. Pediatric Acute Care shall include the costs and revenues associated with all patients, regardless of age, treated on units normally reserved for the care of patients less than 14 years of age and shall not include the costs and revenues of treating patients less than 14 years of age in Medical Surgical and Psychiatric Acute Units. Cost and Revenue associated with swing beds (that is, those not designated (excluding for one type of patient) shall be apportioned among the appropriate Routine Service Centers, as defined in 10:52-6.33 through 6.77 based on actual utilization.
2. All revenue generated from charge differentials between private and semi-private rooms (except those assigned for medical necessity) shall be reported as reconciling items. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
3. Functions shall include the following: serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital signs; operating of specialized equipment related to this function; preparing of equipment and assisting of physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction to drugs; administering specified medications; infusing intravenous fluids; answering patients' call signals; and keeping patients' rooms (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.36 - Psychiatric Acute Care Units (PSA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Psychiatric Acute Care Units (PSA) cost center are as follows:
1. Psychiatric Acute Care Units provide care to patients admitted for diagnosis as well as treatment on the basis of physicians' orders and approved nursing care plans. The units shall be staffed with nursing personnel specially trained to care for the mentally ill, mentally disordered, or other mentally incompetent persons. Psychiatric Acute Care shall include only the costs and revenues associated with services to psychiatric patients in a unit solely designated to the care of the acute mentally ill.
2. All revenues generated from charge differentials between private and semi-private rooms (except those assigned for medical necessity) shall be reported as a reconciling item. Medical and Surgical Supplies should be reported in accordance with 10:52-6.21. Special Services consumed by patients on Psychiatric Acute Care Units shall be reported in the Psychiatric/Psychological Services Center.
3. Functions shall include the following: serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital signs; operating of specialized equipment related to this function; preparing of equipment and assistance of physicians during patient examination and treatment; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction to drugs; administering specified medications; infusing intravenous fluids; answering of patients' call signals; and keeping patients' rooms (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.37 - Burn Care Units (BCU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Burn Care Units (BCU) cost center are as follows:
1. Burn Care Units provide care to severely burned patients that are of a more intensive nature than the usual acute nursing care provided in medical-surgical units. Burn Care Units shall be staffed with specially trained nursing personnel and contain specialized support equipment for burn patients who require intensified, comprehensive observation and care. Burn Care Units shall include only the costs and revenues associated with services to burn patients in a unit solely designated for this purpose. Burn patients not in a unit solely designated for this purpose shall be reported in the Intensive Care Units (ICU) center.
2. Functions shall include the following: serving and feeding of patients; collecting of sputum, urine and feces samples; monitoring of vital signs; operating specialized equipment related to this function; preparing of equipment and assisting of physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction to drugs; administering specified medications; infusing intravenous fluids; answering of patients' call signals; and keeping patients' rooms (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.38 - Intensive Care Units (ICU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Intensive Care Units (ICU) cost center are as follows:
1. Intensive Care Units provide nursing care to patients who, because of surgery, shock, trauma, serious injury or life threatening conditions, require intensified comprehensive observation and care. These units shall be staffed with specially trained nursing personnel and contain specialized equipment for patient monitoring and life support systems. Intensive Care Units include Stroke Care, Pediatric, Intensive Care, Burn Care (not classified in BCU), Medical and Surgical Intensive Care and mixed Intensive Care Coronary Care Units, but exclude units solely designated as Coronary Care Units or Neonatal Intensive Care Units. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: monitoring patients' progress; operating specialized equipment; assisting physicians during examinations and treatments; dispensing prescribed medications, including intravenous solutions; cleansing and dressing incisions and wounds; maintaining patients' charts; and requisitioning and storing medical supplies and drugs kept in these units.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.39 - Coronary Care Units (CCU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Coronary Care Units (CCU) cost center are as follows:
1. Coronary Care Units provide the delivery of care of a more specialized nature than that provided to the usual Medical, Surgical, and Pediatric patient. The unit shall contain monitoring and specialized support or treatment equipment for patients who, because of heart attacks, open heart surgery or life threatening conditions, require intensified, comprehensive observation and care and shall be staffed with specially trained nursing personnel. Coronary patients treated in mixed Intensive/Coronary Care Units shall be included in the Intensive Care Units (ICU) center. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: serving and feeding of patients; collection of sputum, urine and feces samples; monitoring of vital signs; operating of specialized equipment related to this function; preparing of equipment and assistance of physicians during patient examination and treatment; changing dressings and cleansing wounds and incisions; observing and recording emotional stability of patients; assisting in bathing patients and helping into and out of beds; observing patients for reaction to drugs; administering specified medications; infusing intravenous fluids; answering of patients' call signals; and keeping patients' rooms (personal effects) in order.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.40 - Neonatal Intensive Care Units (NNI)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Neonatal Intensive Care Units (NNI) cost center are as follows:
1. A Neonatal Intensive Care Unit provides care to newborn infants that is of a more intensive nature than care provided in Pediatric Acute or Newborn Nursing Units. Care shall be provided on the basis of physicians' orders and approved nursing care plans. The units shall be staffed with specially trained nursing personnel and contain specialized support equipment for treatment of those newborn infants who require intensified, comprehensive observation and care. Neo-natal Intensive Care Units shall be designated perinatal centers by the Department of Health and Senior Services. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: feeding infants; collecting sputum, urine and feces samples; monitoring vital signs; operating specialized equipment needed for this function; preparing equipment and assisting physicians during infant examination and treatment; changing dressings and cleansing wounds and incisions; bathing infants; observing patients for reaction to drugs and administering specified medications including intravenous fluids.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.41 - Newborn Nursery (NBN)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Newborn Nursery (NBN) cost center are as follows:
1. A Newborn Nursery shall provide 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) shall be included here. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: constant observation of newborns; checking on progress of newborns; feeding and diapering newborns; assisting pediatricians during examination and treatment; operating special equipment; dispensing prescribed medications; and educating new mothers on infant care; maintaining newborns' charts; requisitioning and sorting medical supplies, drugs and infants formulae; and scheduling newborns for ancillary services.
3. Costs associated with units designated by the Department of Health as perinatal centers pursuant to N.J.A.C. 8:33C shall be reported in this cost center.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.42 - Emergency Services (EMR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Emergency Services (EMR) cost center are as follows:
1. Emergency Services provide emergency treatment to sick and injured patients requiring medical care on an immediate, unscheduled basis. Also included shall be non-emergency type patients who request outpatient treatment on an unscheduled basis in the Emergency Room.
2. Functions shall include the following: 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 vital signs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.43 - Anesthesiology Services (ANS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Anesthesiology Services (ANS) cost center are as follows:
1. Anesthesiology Services are a hospital based service conducted under the direction of either a qualified physician trained in anesthesiology (that is, an anesthesiologist) or the operating surgeon.
2. Anesthesia gases and other anesthesia supplies and minor moveable equipment if not individually charged to the patient shall be reported in Anesthesiology. The cost of anesthesiologists' compensation and any other costs associated with anesthesiologists' practice (that is, employees of the physician, and 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, shall 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 shall also be reported here.
3. Functions shall include the following: obtaining laboratory findings and patient's anesthetic history prior to administration of anesthetics; administering anesthetics; recording the 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 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.44 - Cardiac Catheterization (CCA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Cardiac Catheterization (CCA) cost center are as follows:
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 shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: 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 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.45 - Delivery and Labor Rooms (DEL)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Delivery and Labor Rooms (DEL) cost center are as follows:
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 shall be included if they are performed in a delivery room. Costs of routine housekeeping functions (that is, those conducted throughout the hospital) performed by delivery and labor personnel shall be included in the housekeeping center. Only specialized clean up procedures unique to Delivery and Labor Rooms functions shall be included in Delivery and Labor. Medical and Surgical Supplies shall be reported in accordance with 10:52-6.21.
2. Functions shall include the following: 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 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.46 - Dialysis (DIA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Dialysis (DIA) cost center are as follows: Dialysis is a hospital based service employing the use of an artificial kidney machine for cleansing the blood. Dialysis shall include both hemodialysis and peritoneal dialysis procedures. The inclusion of Dialysis take-home supplies, if not individually charged, and other costs and revenues shall be in accordance with Medicare HIM 29 instructions. Dialysis take-home and other supplies individually charged for shall be reported in Medical and Surgical Supplies Sold, whether sold or rented, if such supplies shall be included per Medicare HIM 29. For the address for obtaining Medicare documents, see 10:52-6.20(b).
(b) Units of Services: Treatments.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.47 - Drugs Sold to Patients (DRU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Drugs Sold to Patients (DRU) cost center are as follows:
1. The Drugs Sold to Patients center shall be 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 drugs (pharmaceuticals) or intravenous 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 intravenous solutions sold directly to patients must be accumulated in the Pharmacy center.
2. Medically prescribed food supplements, if charged directly to patients shall be 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 and gamma globulin) shall be excluded from the Laboratory center and reported as reconciling items. 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 intravenous solutions sold under renal dialysis and home health agency programs as specified in Medicare HIM 29 and HIM 11. For the address for obtaining Medicare documents, see 10:52-6.20(b).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.48 - Electrocardiology (EKG)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Electrocardiology (EKG) cost center are as follows:
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 (that is, Intensive or Coronary Care Units, Operating and Recovery Rooms, Diagnostic Radiology, and Cardiac Catheterization) shall be included in those centers.
2. The cost of cardiologists' compensation as well as the revenue generated by cardiologists shall be reported to the extent that the cardiologists' compensation is provided through agreement with the hospital.
3. Functions shall include the following: wheeling portable equipment to patient's bedside; conducting stress tests; explaining test procedures to patients; operating electrocardiograph equipment; inspecting, testing and maintaining special equipment; and attaching and removing electrodes from patients.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.49 - Laboratory (LAB)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Laboratory (LAB) cost center are as follows:
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, shall be included here, whether purchased from outside or performed by the hospital laboratory. Services provided for outside institutions shall be excluded and reported as reconciling items. All fields of laboratory work, such as Autopsy, Blood Bank, Chemistry, Cytology, Hematology, Histology, Immunology, and Microbiology shall be included. Laboratory work in poison and infection control, epidemiology (including nursing epidemiology work), and coagulation testing shall be included. Infection control officer costs not related to laboratory work shall 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 shall be included in that center.
2. The procuring (drawing), receiving, storing, typing and cross matching of whole blood, blood components and blood products shall be included in the Laboratory cost center. Purchase cost of and patient payments for blood and blood products shall be excluded and reported. The costs associated with procuring blood donations shall be included in Laboratory.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.50 - Medical and Surgical Supplies Sold (MSS)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Medical and Surgical Supplies Sold (MSS) cost center are as follows:
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 shall be the cost and revenue associated with supplies furnished to a patient for use after his or her 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 HIM 29 and HIM 11). The costs and revenues associated with such items shall be reported as reconciling items. For the address for obtaining Medicare documents, see 10:52-6.20(b).
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.51 - Neurology, Diagnostic (NEU)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Neurology, Diagnostic (NEU) cost center are as follows:
1. This center shall provide 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.
2. The cost of compensation of physicians involved in diagnostic neurology, as well as the revenue generated by these physicians for their activities shall be reported to the extent that their compensation is provided through agreement with the hospital.
3. Functions shall include the following: Wheeling portable equipment to patient's bedside; explaining test procedures to patient; operating specialized equipment; inspecting, testing and maintaining special equipment; and attaching and removing electrodes from patients.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.52 - Nuclear Medicine (NMD)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Nuclear Medicine (NMD) cost center are as follows:
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 shall be apportioned among the benefiting centers. The cost of compensation of physicians involved in Nuclear Medicine, as well as the revenue they generate, shall be reported to the extent that their compensation is provided through agreement with the hospital.
3. Functions shall include the following: Consultation with patient and attending physician; radioactive waste disposal; and storage of radioactive materials.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.53 - Occupational and Recreational Therapy (OCC)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Occupational and Recreational Therapy (OCC) cost center are as follows:
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.
2. 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.
3. The cost of compensation of physicians involved in occupational and recreational therapy as well as the revenue generated by these physicians for their activities shall be reported to the extent that their compensation is provided through agreement with the hospital.
4. Functions shall include the following: 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 shall be provided to individuals or groups.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.54 - Operating and Recovery Rooms (ORR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Operating and Recovery Rooms (ORR) cost center are as follows:
1. Operating and Recovery Rooms provide surgical services to both inpatients and outpatients. These rooms shall be 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 (for example, cytoscopy, endoscopy, gastroscopy) other than a surgical clinic shall be included here. The cost and revenue associated with surgical dental services provided to patients shall also be included.
2. Costs of routine housekeeping functions (that is, those conducted throughout the hospital) performed by Operating and Recovery Room personnel shall 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 shall be reported in the Operating and Recovery Room Center. Medical and Surgical Supplies shall be reported per 10:52-6.21.
3. Functions shall include the following: 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 operating room; exclude preparation 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 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.55 - Organ Acquisition (ORG)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Organ Acquisition (ORG) cost center are as follows:
1. These centers acquire, store, and preserve human organs for their eventual transplantation to patients of the hospital. All direct costs incurred by the Laboratory, Operating and Recovery Rooms and other hospital departments in acquiring organs shall be transferred to the Organ Acquisition Center. The costs and revenues (or value of credits) of acquiring organs for a pool or for transportation to a patient of another hospital shall be reported as an organ donation reconciliation.
2. Functions shall include the following: Conducting sterile autopsies to obtain organs; purchasing of organs from a central pool; harvesting; and preservation of organs.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.56 - Physical Therapy (PHT)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Physical Therapy (PHT) cost center are as follows:
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 shall 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 shall include 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 (for example, 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 (for example, customized braces, prostheses, etc.) shall be excluded from this center.
3. Functions shall include the following: 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 linen on beds and treatment tables; and assisting patients in changing clothes.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.57 - Psychiatric/Psychological Services (PSY)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Psychiatric/Psychological Services (PSY) cost center are as follows:
1. This center provides psychiatric and psychological services, such as individual, group, and family therapy to adults, adolescents and families of hospital patients, but excluding costs and revenues associated with psychiatric/psychological clinic visits. Costs and revenues to be reported here include those related to the compensation of psychiatrists, psychologists, or psychiatric social workers to the extent that such compensation is provided through agreement with the hospital.
2. Functions shall include the following: Evaluation and psychotherapy provided to inpatients; emergency room psychiatric/psychological care; biofeedback training; psychological testing; and shock therapy.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.58 - Radiology, Diagnostic (RAD)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Radiology, Diagnostic (RAD) cost center are as follows:
1. Diagnostic Radiology is normally a hospital based service conducted under the direction of a qualified radiologist, and shall include 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 shall 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, shall be reported here.
3. The cost of compensation of radiologists as well as the revenue they generate shall be reported in this center to the extent that their compensation is provided through agreement with the hospital.
4. Functions shall include the following: Taking, processing, examining and interpreting radiographs and fluorographs; consultation with patient and attending physicians; storage of radioactive materials; and radioactive waste disposal.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.59 - Respiratory Therapy (RSP)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Respiratory Therapy (RSP) cost center are as follows:
1. Respiratory therapy is a hospital based service for diagnosis and treatment of pulmonary diseases. This shall include 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, shall be reported to the extent that these physicians' compensation is provided through agreement with the hospital.
3. The costs of and revenue generated from all gases administered to patients shall be included in this center, excluding the costs and revenue associated with gases administered as part of the anesthetizing process which are included in the Anesthesiology Center.
4. Functions shall include the following: 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 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.60 - Speech-Language Pathology and Audiology (SPA)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Speech Language Pathology and Audiology (SPA) cost center are as follows:
1. Speech Pathology provides therapeutic treatment for disorders of production, reception and perception of speech and language. Audiology provides and coordinates services to persons with impaired peripheral and/or central auditory function and provides detection and management of any existing communicating handicaps centering in whole or in part on the hearing function. Such activities shall be coordinated with medical evaluation and treatment of hospital patients.
2. Functions shall include the following: Audiologic assessment (including basic audiometric testing and screening, examination for site of lesions, non-organic hearing loss and various parameters of auditory processing abilities essential for communication function); hearing aid evaluation, selection, orientation, adjustment and other technical related services; audiologic habilitation and rehabilitation including the development, remediation or conservation of receptive and expressive language abilities; demonstrating and evaluating amplification devices and altering systems; evaluating excessively noisy environments; determining through interviews and special tests the etiology, history and severity of speech disorders; and special speech, hearing and language remedial procedures, counseling and guidance.
New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 52 - HOSPITAL SERVICES MANUAL › Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS › Section 10:52-6.61 - Therapeutic Radiology (THR)

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The functions included in the Therapeutic Radiology (THR) cost center are as follows:
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 shall be apportioned among the benefiting centers.
3. The cost of compensation of radiologists involved in therapeutic radiology as well as the revenue they generate shall be reported to the extent that their compensation is provided through agreement with the hospital.
4. Functions shall include the following: Consultation with patients and attending physician; operation of specialized equipment; storage of radioactive material; disposal of radioactive waste; and inspecting, testing and maintaining specialized equipment.