May 25, 1982
SUBJECT: INSURANCE
CIRCULAR LETTER NO. 17 (1982)
DATED: MAY 25, 1982
WITHDRAWN
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
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WORKERS" COMPENSATION |
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HOSPITAL RATE SCHEDULE |
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REVISED DAILY |
ANCILLARY EXCLUSIONS |
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RATE |
EFFECTIVE |
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1979 |
1/1/79-12/31/79 |
1/1/78-12/31/78 |
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WESTERN NEW YORK REGION |
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CATTARAUGUS COUNTY |
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SALAMANCA HOSPITAL |
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DISTRICT AUTHORITY |
$ 160.00 |
- |
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- |
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INPATIENT ACUTE |
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CARE |
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ERIE COUNTY |
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BERTRAND CHAFFEE HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 151.00 |
A |
A |
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OUR LADY OF VICTORY |
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HOSPITAL OF |
$ 152.00 |
A,B |
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A,B |
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LACKAWANNA |
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INPATIENT ACUTE |
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CARE |
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SHEEHAN MEMORIAL EMERGENCY |
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HOSPITAL, INC. |
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INPATIENT ACUTE |
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CARE |
$ 182.00 |
A,B |
A,B |
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MONROE COUNTY |
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HIGHLAND HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 272.00 |
A,B, EFF. 4/1/79 |
A |
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SENECA COUNTY |
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WATERLOO MEMORIAL HOSPITAL, |
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INC. D/B/A TAYLOR-BROWN |
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MEMORIAL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 154.00 |
A,C |
A,C |
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CENTRAL |
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NEW YORK REGION |
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BROOME COUNTY |
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IDEAL HOSPITAL OF ENDICOTT |
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INPATIENT ACUTE |
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CARE |
$ 151.00 |
A,B |
A,B |
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CORTLAND COUNTY |
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CORTLAND MEMORIAL |
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HOSPITAL INC. |
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INPATIENT ACUTE |
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CARE |
$ 179.00 |
B |
- |
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ONEIDA COUNTY |
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FAXTON HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 180.00 |
A |
A |
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ST. ELIZABETH HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 202.00 |
A |
A |
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ONONDAGA COUNTY |
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CROUSE-IRVING |
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MEMORIAL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 254.00 |
A,B,C, NUCLEAR |
A,B,C, NUCLEAR |
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MEDICINE |
MEDICINE |
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STATE UNIVERSITY HOSPITAL |
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UPSTATE MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 312.00 |
A,C |
A,C |
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ST. LAWRENCE COUNTY |
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CENTRAL ST. LAWRENCE |
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HEALTH SERVICES |
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OF POTSDAM HOSPITAL UNIT |
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INPATIENT ACUTE |
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CARE |
$ 198.00 |
A |
A |
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EDWARD JOHN NOBLE HOSPITAL |
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- |
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OF GOVERNEUR |
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INPATIENT ACUTE |
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CARE |
$ 126.00 |
- |
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NORTHEASTERN NEW YORK REGION |
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OTSEGO COUNTY |
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MARY IMOGENE BASSETT |
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HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 299.00 |
- |
- |
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NORTHERN METROPOLITAN REGION |
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ORANGE COUNTY |
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DOCTOR"S SUNNYSIDE |
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HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 168.00 |
- |
- |
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ULSTER COUNTY |
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BENEDICTINE HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 157.00 |
A,C |
A |
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WESTCHESTER COUNTY |
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MOUNT VERNON HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 223.00 |
A |
A |
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N.Y. HOSPITAL-CORNELL |
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MEDICAL CENTER |
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WESTCHESTER DIVISION |
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PSYCHIATRIC |
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CARE |
$ 196.00 |
- |
- |
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PEEKSKILL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 196.00 |
A |
A |
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ST. JOSEPH"S HOSPITAL |
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YONKERS |
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INPATIENT ACUTE |
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CARE |
$ 192.00 |
- |
- |
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WHITE PLAINS HOSPITAL |
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MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 253.00 |
A |
A |
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LONG ISLAND REGION |
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NASSAU COUNTY |
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COMMUNITY HOSPITAL |
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AT GLEN COVE |
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INPATIENT ACUTE |
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CARE |
$ 231.00 |
A |
A |
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LYDIA E. HALL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 218.00 |
- |
A, EKG |
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NASSAU COUNTY |
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MEDICAL CENTER |
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EAST MEADOW DIVISION |
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INPATIENT ACUTE |
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CARE |
$ 352.00 |
- |
- |
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NORTH SHORE UNIVERSITY |
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HOSPITAL |
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INPATIENT ACUTE CARE |
$ 327.00 |
A |
A |
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SYOSSET HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 211.00 |
A, EKG |
A, EKG |
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NEW YORK CITY REGION |
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BEEKMAN DOWNTOWN HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 228.00 |
A |
A |
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BETH ISRAEL MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 283.00 |
A |
- |
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BROOKDALE HOSPITAL |
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MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 315.00 |
A,C |
A,C |
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CABRINI MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 280.00 |
A |
- |
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HOSPITAL FOR |
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JOINT DISEASES |
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AND MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
1/1/79- |
$ 339.00 |
A |
A, RESPIRATORY |
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1/31/79 |
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2/1/79- |
$ 341.00 |
A |
INHALATION |
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7/7/79 |
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ORTHOPEDIC INSTITUTE |
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INPATIENT ACUTE |
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CARE |
7/10/79- |
$ 524.00 |
A |
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10/31/79 |
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11/1/79- |
$ 534.00 |
A |
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12/31/79 |
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JEWISH MEMORIAL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 236.00 |
A |
A |
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JOINT DISEASES |
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NORTH GENERAL |
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HOSPITAL |
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INPATIENT ACUTE |
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CARE |
7/10/79- |
$ 240.00 |
A |
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12/31/79 |
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LENOX HILL HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 340.00 |
A |
- |
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MEDICAL ARTS |
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CENTER HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 184.00 |
A |
A |
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MONTEFIORE HOSPITAL AND |
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MEDICAL CENTER |
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INPATIENT ACUTE |
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CARE |
$ 377.00 |
- |
- |
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MOUNT SINAI HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 401.00 |
A |
A,C |
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PRESBYTERIAN HOSPITAL |
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IN THE CITY OF NEW YORK |
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INPATIENT ACUTE |
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CARE |
$ 352.00 |
A |
A |
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ROOSEVELT HOSPITAL |
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INPATIENT ACUTE |
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CARE |
1/1/79- |
$ 370.00 |
A |
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9/30/79 |
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10/1/79- |
$ 310.00 |
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12/31/79 |
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DETOXIFICATION |
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UNIT |
10/1/79- |
$ 82.00 |
A |
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12/31/79 |
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ST. LUKE"S HOSPITAL CENTER |
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INPATIENT ACUTE |
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CARE |
1/1/79- |
$ 301.00 |
A |
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9/30/79 |
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10/1/79- |
$ 310.00 |
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12/31/79 |
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ST. VINCENT"S HOSPITAL |
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AND MEDICAL CENTER |
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OF NEW YORK |
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INPATIENT ACUTE |
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CARE |
$ 305.00 |
A |
A |
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WYCKOFF HEIGHTS HOSPITAL |
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INPATIENT ACUTE |
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CARE |
$ 218.00 |
A |
A |
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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.