New York State seal

May 25, 1982

SUBJECT: INSURANCE

WITHDRAWN

CIRCULAR LETTER NO. 17 (1982)

DATED: MAY 25, 1982

TO: ALL INSURERS AND SELF-INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE

SUBJECT: REIMBURSEMENT RATES FOR HOSPITAL AND HEALTH RELATED SERVICES UNDER NO-FAULT - EFFECTIVE JANUARY 1, 1979 - DECEMBER 31, 1979

Pursuant to Regulation 83, the attached schedule of revised reimbursement rates for a limited number of hospitals have been adopted for no-fault and shall be utilized by no-fault insurers for payment of hospital inpatient services effective for services rendered for the period January 1, 1979 through December 31, 1979.

Insurers should expect to receive amended billings representing the difference between rates previously adopted for no-fault, via Circular Letter No. 4 dated January 5, 1979, and the rates shown in the attached schedule.

Very truly yours,

[SIGNATURE]

ALBERT B. LEWIS

Superintendent of Insurance

ABL/

Attach:

The attached schedule of revised reimbursement rates was recommended and certified by the State Commissioner of Health and approved by the Chairman of the Workers' Compensation Board. Pursuant to Chapter 767 of the Laws of 1977 as amended by Chapter 213 of the Laws of 1978 and Chapter 271 of the Laws of 1979, these rates are for use in payment of claims under the Workers' Compensation Law and the Volunteer Firemens' Benefit Law.

Unless otherwise noted the rates listed are all-inclusive reimbursement rates for in-patient hospital services rendered by the facilities and, therefore, no extra payments are to be made to or accepted by the facilities for services rendered.

[SIGNATURE]

Chairman

ATTACHMENT

WORKERS' COMPENSATION

HOSPITAL RATE SCHEDULE

   

REVISED DAILY

ANCILLARY EXCLUSIONS

   

RATE

EFFECTIVE

   

1979

1/1/79-12/31/79

1/1/78-12/31/78

WESTERN NEW YORK REGION

     

CATTARAUGUS COUNTY

     

SALAMANCA HOSPITAL

     

DISTRICT AUTHORITY

 

$ 160.00

-

-

       

  INPATIENT ACUTE

       

  CARE

       
         

ERIE COUNTY

     

BERTRAND CHAFFEE HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 151.00

A

A

         

OUR LADY OF VICTORY

     

HOSPITAL OF

 

$ 152.00

A,B

A,B

       

LACKAWANNA

       

  INPATIENT ACUTE

       

  CARE

       
         

SHEEHAN MEMORIAL EMERGENCY

     

HOSPITAL, INC.

     

  INPATIENT ACUTE

       

  CARE

 

$ 182.00

A,B

A,B

         

ROCHESTER NEW YORK REGION

     

MONROE COUNTY

     

HIGHLAND HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 272.00

A,B, EFF. 4/1/79

A

         

SENECA COUNTY

     

WATERLOO MEMORIAL HOSPITAL,

     

INC. D/B/A TAYLOR-BROWN

     

MEMORIAL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 154.00

A,C

A,C

         

CENTRAL

     

NEW YORK REGION

     

BROOME COUNTY

     

IDEAL HOSPITAL OF ENDICOTT

     

  INPATIENT ACUTE

       

  CARE

 

$ 151.00

A,B

A,B

         

CORTLAND COUNTY

     

CORTLAND MEMORIAL

     

HOSPITAL INC.

     

  INPATIENT ACUTE

       

  CARE

 

$ 179.00

B

-

         

ONEIDA COUNTY

     

FAXTON HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 180.00

A

A

         

ST. ELIZABETH HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 202.00

A

A

         

ONONDAGA COUNTY

     

CROUSE-IRVING

     

MEMORIAL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 254.00

A,B,C, NUCLEAR

A,B,C, NUCLEAR

     

MEDICINE

MEDICINE

         

STATE UNIVERSITY HOSPITAL

     

UPSTATE MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 312.00

A,C

A,C

         

ST. LAWRENCE COUNTY

     

CENTRAL ST. LAWRENCE

     

HEALTH SERVICES

     

OF POTSDAM HOSPITAL UNIT

     

  INPATIENT ACUTE

       

  CARE

 

$ 198.00

A

A

         

EDWARD JOHN NOBLE HOSPITAL

     

-

       

OF GOVERNEUR

     

  INPATIENT ACUTE

       

  CARE

 

$ 126.00

-

 
         

NORTHEASTERN NEW YORK REGION

     

OTSEGO COUNTY

     

MARY IMOGENE BASSETT

     

HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 299.00

-

-

         

NORTHERN METROPOLITAN REGION

     

ORANGE COUNTY

     

DOCTOR'S SUNNYSIDE

     

HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 168.00

-

-

         

ULSTER COUNTY

     

BENEDICTINE HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 157.00

A,C

A

         

WESTCHESTER COUNTY

     

MOUNT VERNON HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 223.00

A

A

         

N.Y. HOSPITAL-CORNELL

     

MEDICAL CENTER

     

WESTCHESTER DIVISION

     

  PSYCHIATRIC

       

  CARE

 

$ 196.00

-

-

         

PEEKSKILL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 196.00

A

A

         

ST. JOSEPH'S HOSPITAL

     

YONKERS

     

  INPATIENT ACUTE

       

  CARE

 

$ 192.00

-

-

         

WHITE PLAINS HOSPITAL

     

MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 253.00

A

A

         

LONG ISLAND REGION

     

NASSAU COUNTY

     

COMMUNITY HOSPITAL

     

AT GLEN COVE

     

  INPATIENT ACUTE

       

  CARE

 

$ 231.00

A

A

         

LYDIA E. HALL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 218.00

-

A, EKG

         

NASSAU COUNTY

     

MEDICAL CENTER

     

EAST MEADOW DIVISION

     

  INPATIENT ACUTE

       

  CARE

 

$ 352.00

-

-

         

NORTH SHORE UNIVERSITY

     

HOSPITAL

     

  INPATIENT ACUTE CARE

$ 327.00

A

A

SYOSSET HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 211.00

A, EKG

A, EKG

         

NEW YORK CITY REGION

     

BEEKMAN DOWNTOWN HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 228.00

A

A

         

BETH ISRAEL MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 283.00

A

-

         

BROOKDALE HOSPITAL

     

MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 315.00

A,C

A,C

         

CABRINI MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 280.00

A

-

         

HOSPITAL FOR

     

JOINT DISEASES

     

AND MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

1/1/79-

$ 339.00

A

A, RESPIRATORY

 

1/31/79

     
 

2/1/79-

$ 341.00

A

INHALATION

 

7/7/79

     
         

ORTHOPEDIC INSTITUTE

     

  INPATIENT ACUTE

       

  CARE

7/10/79-

$ 524.00

A

 
 

10/31/79

     
 

11/1/79-

$ 534.00

A

 
 

12/31/79

     
         

JEWISH MEMORIAL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 236.00

A

A

         

JOINT DISEASES

     

NORTH GENERAL

     

HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

7/10/79-

$ 240.00

A

 
 

12/31/79

     
         

LENOX HILL HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 340.00

A

-

         

MEDICAL ARTS

     

CENTER HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 184.00

A

A

         

MONTEFIORE HOSPITAL AND

     

MEDICAL CENTER

     

  INPATIENT ACUTE

       

  CARE

 

$ 377.00

-

-

         

MOUNT SINAI HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 401.00

A

A,C

         

PRESBYTERIAN HOSPITAL

     

IN THE CITY OF NEW YORK

     

  INPATIENT ACUTE

       

  CARE

 

$ 352.00

A

A

         

ROOSEVELT HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

1/1/79-

$ 370.00

 

A

 

9/30/79

     
 

10/1/79-

$ 310.00

   
 

12/31/79

     
         

  DETOXIFICATION

       

  UNIT

10/1/79-

$ 82.00

 

A

 

12/31/79

     
         

ST. LUKE'S HOSPITAL CENTER

     

  INPATIENT ACUTE

       

  CARE

1/1/79-

$ 301.00

A

 
 

9/30/79

     
 

10/1/79-

$ 310.00

   
 

12/31/79

     
         

ST. VINCENT'S HOSPITAL

     

AND MEDICAL CENTER

     

OF NEW YORK

     

  INPATIENT ACUTE

       

  CARE

 

$ 305.00

A

A

         

WYCKOFF HEIGHTS HOSPITAL

     

  INPATIENT ACUTE

       

  CARE

 

$ 218.00

A

A

A-ANESTHESIOLOGIST, B-RADIOLOGIST, C-PHYSIOTHERAPIST, D-PATHOLOGIST

CORRECTION - ANCILLARY EXCLUSIONS

ST. JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE DIVISION AND JAMAICA HOSPITAL, BOTH NEW YORK CITY REGION FACILITIES, WERE ERRONEOUSLY LISTED AS HAVING ALL-INCLUSIVE 1979 WORKERS' COMPENSATION RATES IN BOTH CASES, ANESTHESIOLOGY SHOULD BE EXCLUDED.