Reimbursement rates for hospital & health related services under No-Fault effective January 1, 1979-December 31, 1979.

May 25, 1982 SUBJECT: INSURANCE CIRCULAR LETTER NO. 17 (1982) DATED: MAY 25, 1982 WITHDRAWN TO: ALL INSURERS AND SELF-INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE SUBJECT: REIMBURSEMENT RATES FOR HOSPITAL AND HEALTH RELATED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 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.