SCHEDULE OF WORKERS' COMPENSATION / NO-FAULT (WCNF)
INPATIENT EXEMPT UNIT PSYCHIATRIC RATES - EFFECTIVE 10/20/2010 - 12/31/2010
NYSDOH
(1)
PSYCHIATRIC OPERATING BILLING RATE
OPCERT
1623001
0101000
0501000
7002001
5501000
7002002
3535001
7000001
7001002
5123000
5263000
5401001
0901001
4401000
3421000
1001000
3301003
7001009
1101000
5127000
4601001
7003000
1401005
3202003
7003001
2910000
2901000
5601000
7002009
5153000
7001046
7000002
7003003
5149000
1401014
HOSPITAL NAME
ADIRONDACK MEDICAL CENTER
ALBANY MEDICAL CTR HOSP
AUBURN MEMORIAL HOSPITAL
BELLEVUE HOSPITAL CENTER
BENEDICTINE HOSPITAL
BETH ISRAEL MEDICAL CENTER
BON SECOURS COMMUNITY HOSP
BRONX‐LEBANON HOSPITAL CTR
BROOKDALE HOSPITAL MED CTR
BROOKHAVEN MEMORIAL HOSP
CATSKILL REGIONAL MED CTR
CAYUGA MEDICAL CENTER
CHAMPLAIN VALLEY PHYS
CLAXTON‐HEPBURN MED CTR
CLIFTON SPRINGS HOSPITAL
COLUMBIA MEMORIAL HOSPITAL
COMMUNITY‐GEN/GTR SYRACUSE
CONEY ISLAND HOSPITAL
CORTLAND REGIONAL MED CTR
EASTERN LONG ISLAND HOSPITAL
ELLIS HOSPITAL
ELMHURST HOSPITAL CTR
ERIE COUNTY MEDICAL CENTER
FAXTON‐ST LUKES HEALTHCARE
FLUSHING HOSPITAL
FRANKLIN HOSPITAL
GLEN COVE HOSPITAL
GLENS FALLS HOSPITAL
HARLEM HOSPITAL CENTER
HUNTINGTON HOSPITAL
INTERFAITH MEDICAL CENTER
JACOBI MEDICAL CENTER
JAMAICA HOSPITAL
JOHN T MATHER MEMORIAL HOSP
KALEIDA HEALTH
$631.27
$541.95
$661.18
$637.52
$669.15
$704.24
$571.60
$663.37
$652.65
$634.40
$701.59
$675.75
$644.38
$589.86
$432.86
$629.20
$577.15
$629.85
$615.78
$617.02
$523.38
$670.53
$574.28
$637.10
$643.68
$612.35
$703.24
$624.83
$654.71
$659.13
$656.52
$691.09
$700.31
$640.82
$577.77
Page 1 of 3
(2)
(3)
PSYCHIATRIC
PSYCHIATRIC NON‐
OPERATING PSYCHIATRIC BILLING RATE ECT PAYMENT
$59.92
$75.12
$24.83
$206.63
$31.56
$264.75
$12.72
$247.19
$127.03
$31.03
$32.75
$49.43
$51.05
$34.76
$24.92
$25.90
$18.59
$163.67
$81.94
$53.71
$41.52
$324.03
$75.46
$38.69
$137.50
$32.05
$48.66
$59.27
$253.71
$42.31
$93.31
$188.28
$252.32
$34.18
$65.09
$231.32
$244.44
$242.28
$287.55
$245.20
$317.64
$257.82
$299.21
$294.38
$286.14
$257.09
$247.62
$236.12
$216.15
$195.24
$230.56
$260.32
$284.09
$225.64
$278.30
$236.07
$302.44
$259.03
$233.45
$290.33
$276.19
$317.19
$228.96
$295.30
$297.30
$296.12
$311.71
$315.87
$289.04
$260.60
(4)
PSYCHIATRIC ALC PER DIEM
$174.66
$174.66
$174.66
$265.63
$174.66
$265.63
$174.66
$265.63
$265.63
$265.63
$174.66
$174.66
$174.66
$174.66
$174.66
$174.66
$174.66
$265.63
$174.66
$265.63
$174.66
$265.63
$174.66
$174.66
$265.63
$265.63
$265.63
$174.66
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$174.66
wcnf_10_20_10_in_psy_03_29_12.xls
Ref 050
SCHEDULE OF WORKERS' COMPENSATION / NO-FAULT (WCNF)
INPATIENT EXEMPT UNIT PSYCHIATRIC RATES - EFFECTIVE 10/20/2010 - 12/31/2010
NYSDOH
(1)
PSYCHIATRIC OPERATING BILLING RATE
OPCERT
7001016
7001033
7002017
7000008
2902000
7001017
7003004
7001019
7001020
3824000
3622000
2909000
7002021
7000006
7002024
5903000
2950002
3102000
7000024
2951001
5920000
7001021
7002054
7002053
0401001
3523000
3702000
5932000
3950000
7003007
7004010
2701003
3201002
4102002
2201000
(2)
(3)
PSYCHIATRIC
PSYCHIATRIC NON‐
OPERATING PSYCHIATRIC BILLING RATE ECT PAYMENT
(4)
PSYCHIATRIC ALC PER DIEM
HOSPITAL NAME
KINGS COUNTY HOSPITAL CENTER
KINGSBROOK JEWISH MED CTR
LENOX HILL HOSPITAL
LINCOLN MEDICAL
LONG BEACH MEDICAL CENTER
LONG ISLAND COLLEGE HOSPITAL
LONG ISLAND JEWISH
LUTHERAN MEDICAL CENTER
MAIMONIDES MEDICAL CENTER
MARY IMOGENE BASSETT HOSP
MEDINA MEMORIAL HOSPITAL
MERCY MEDICAL CENTER
METROPOLITAN HOSPITAL CENTER
MONTEFIORE MEDICAL CENTER
MOUNT SINAI HOSPITAL
MOUNT VERNON HOSPITAL
NASSAU UNIV MED CTR
NIAGARA FALLS MEMORIAL
NORTH CENTRAL BRONX HOSPITAL
NORTH SHORE UNIVERSITY HOSP
NORTHERN WESTCHESTER HOSP
NY METHODIST HOSP / BROOKLYN
NY PRESBYTERIAN HOSPITAL
NYU HOSPITALS CENTER
OLEAN GENERAL HOSPITAL
ORANGE REGIONAL MED CTR
OSWEGO HOSPITAL
PHELPS MEMORIAL HOSP
PUTNAM COMMUNITY HOSPITAL
QUEENS HOSPITAL CENTER
RICHMOND UNIV MED CTR
ROCHESTER GENERAL HOSPITAL
ROME MEMORIAL HOSPITAL
SAMARITAN HOSPITAL OF TROY
SAMARITAN MEDICAL CENTER
$632.03
$715.33
$648.36
$643.00
$562.69
$643.75
$677.95
$633.72
$741.62
$578.05
$496.08
$633.40
$636.15
$699.57
$698.13
$657.27
$705.49
$483.95
$710.72
$723.74
$630.23
$665.55
$696.76
$666.67
$589.02
$620.38
$631.04
$623.00
$639.01
$710.10
$622.88
$528.99
$480.15
$495.35
$647.53
Page 2 of 3
$300.27
$52.28
$172.05
$274.61
$86.63
$184.42
$122.06
$93.48
$90.56
$23.84
$19.29
$32.71
$305.18
$576.69
$158.27
$14.80
$46.65
$36.67
$151.34
$542.91
$83.31
$153.11
$148.13
$501.40
$64.78
$33.37
$65.24
$68.31
$51.66
$297.10
$49.43
$57.57
$24.80
$30.50
$27.68
$285.07
$322.64
$292.44
$290.02
$253.80
$290.36
$305.78
$285.83
$334.50
$211.82
$181.78
$285.69
$286.93
$315.53
$314.89
$296.46
$318.20
$218.28
$320.56
$326.44
$284.26
$300.19
$314.27
$300.70
$215.84
$279.82
$231.23
$281.00
$288.22
$320.28
$280.94
$238.60
$216.57
$223.42
$237.28
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$174.66
$174.66
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$174.66
$265.63
$265.63
$265.63
$265.63
$265.63
$265.63
$174.66
$174.66
$174.66
$265.63
$174.66
$265.63
$265.63
$174.66
$174.66
$174.66
$174.66
wcnf_10_20_10_in_psy_03_29_12.xls
Ref 050
SCHEDULE OF WORKERS' COMPENSATION / NO-FAULT (WCNF)
INPATIENT EXEMPT UNIT PSYCHIATRIC RATES - EFFECTIVE 10/20/2010 - 12/31/2010
NYSDOH
(1)
PSYCHIATRIC OPERATING BILLING RATE
OPCERT
4501000
6120700
2950001
5154000
7000014
5157003
3202002
1302000
5002001
7001024
0701001
3301003
5907002
7002032
2801001
7001037
7004003
2701005
4353000
2754001
0427000
0303001
5151001
3301007
5820000
5957001
0602001
7001045
6027000
(2)
(3)
PSYCHIATRIC
PSYCHIATRIC NON‐
OPERATING PSYCHIATRIC BILLING RATE ECT PAYMENT
(4)
PSYCHIATRIC ALC PER DIEM
HOSPITAL NAME
SARATOGA HOSPITAL
SOLDIERS AND SAILORS MEM HOSP
SOUTH NASSAU COMMUNITIES
SOUTHSIDE HOSPITAL
ST BARNABAS HOSPITAL
ST CATHERINE OF SIENA
ST ELIZABETH MEDICAL CENTER
ST FRANCIS HOSP / POUGH
ST JAMES MERCY HOSPITAL
ST JOHNS EPISCOPAL SO SHORE
ST JOSEPHS HOSP / ELMIRA
ST JOSEPHS HOSP HLTH CTR
ST JOSEPHS MEDICAL CENTER
ST LUKES / ROOSEVELT HOSP
ST MARYS HOSP / AMSTERDAM
STATE UNIV HOSP / DOWNSTATE
STATEN ISLAND UNIV HOSP
STRONG MEMORIAL HOSPITAL
SUMMIT PARK HOSPITAL
THE UNITY HOSPITAL OF ROCHESTER
TLC HEALTH NETWORK
UNITED HEALTH SERVICES INC
UNIV HOSP AT STONY BROOK
UNIV HOSP SUNY HLTH SCI CTR
WAYNE HEALTH CARE
WESTCHESTER MEDICAL CENTER
WOMANS CHRISTIAN ASSOC
WOODHULL MEDICAL
WYOMING CO COMMUNITY HOSP
$518.46
$514.10
$600.07
$652.16
$639.63
$659.07
$522.76
$538.27
$506.89
$743.68
$462.83
$550.48
$638.26
$758.88
$579.43
$679.63
$634.09
$560.45
$615.71
$482.95
$523.30
$528.55
$639.01
$572.16
$481.83
$709.78
$568.70
$633.90
$595.00
Page 3 of 3
$62.92
$29.90
$87.29
$49.00
$87.75
$60.02
$32.47
$92.78
$29.84
$117.48
$11.60
$34.18
$56.15
$86.40
$19.47
$215.89
$125.67
$101.24
$10.17
$35.66
$17.69
$29.56
$188.24
$168.91
$32.29
$144.77
$19.99
$118.92
$36.96
$233.85
$188.38
$270.66
$294.15
$288.50
$297.27
$235.79
$242.78
$185.74
$335.43
$208.75
$248.29
$287.88
$342.29
$212.32
$306.54
$286.00
$252.79
$277.71
$217.83
$191.75
$238.40
$288.22
$258.07
$217.33
$320.14
$208.39
$285.92
$218.03
$174.66
$174.66
$265.63
$265.63
$265.63
$265.63
$174.66
$174.66
$174.66
$265.63
$174.66
$174.66
$265.63
$265.63
$174.66
$265.63
$265.63
$174.66
$265.63
$174.66
$174.66
$174.66
$265.63
$174.66
$174.66
$265.63
$174.66
$265.63
$174.66
wcnf_10_20_10_in_psy_03_29_12.xls
Ref 050