N.Y. Comp. Codes R. & Regs. tit. 10, § 446.5
(b) The recommended statistical bases for cost allocation are listed below for each cost center. It is advisable to develop a written procedure for the collection of these statistical data to meet the reporting requirements. The definitions and sources of the recommended statistics for cost allocations are provided in section 446.6 of this Part.
| Functional Cost Center | Account Number | |||
|---|---|---|---|---|
| Basis of Allocation | ||||
| Medicaid | Medicare | |||
| (1) DAILY HOSPITAL SERVICES | ||||
| (i) | Acute Care: | |||
| Medical/Surgical | 6010 | None | None | |
| Pediatric | 6170 | None | None | |
| Psychiatric | 6210 | None | None | |
| Obstetrics | 6250 | None | None | |
| Definitive Observation | 6280 | None | None | |
| Other Acute Care | 6290 | None | None | |
| (ii) | Intensive Care Services: | |||
| Medical/Surgical | 6310 | None | None | |
| Coronary | 6330 | None | None | |
| Pediatric | 6350 | None | None | |
| Neo-Natal | 6370 | None | None | |
| Burn | 6380 | None | None | |
| Psychiatric | 6390 | None | None | |
| Other Intensive Care I | 6410 | None | None | |
| Other Intensive Care II | 6420 | None | None | |
| Other Intensive Care III | 6430 | None | None | |
| (iii) | Nursery Services: | |||
| Newborn Nursery | 6510 | None | None | |
| Premature Nursery | 6520 | None | None | |
| (iv) | Sub-Acute Care Services: | |||
| Skilled Nursing Care— | ||||
| Medicare/Medicaid Certified | 6610 | None | None | |
| Medicaid Certified | 6620 | None | None | |
| Psychiatric Long-Term Care | 6630 | None | None | |
| Tuberculosis Long-Term Care | 6640 | None | None | |
| Intermediate Care— | ||||
| Mentally Retarded | 6650 | None | None | |
| Other | 6660 | None | None | |
| Residential Care | 6670 | None | None | |
| Other Sub-Acute Care | 6680 | None | None | |
| Other Sub-Acute Care Hospital Services | 6680 | None | None | |
| Other Sub-Acute Care Non-Hospital Services | 6690 | None | None | |
| (2) AMBULATORY SERVICES | ||||
| Emergency Services | 6710 | None | None | |
| Clinic Services | 6720 | None | None | |
| Home Program Dialysis: | ||||
| Equipment—100% | 6810 | None | None | |
| Equipment-Other | 6820 | None | None | |
| Ambulatory Surgery | 6830 | None | None | |
| Psychiatric Day/Night | 6840 | None | None | |
| Ambulance Services | 6850 | None | None | |
| Other Ambulatory Services | 6860 | None | None | |
| Free Standing Clinic: | ||||
| Free Standing Clinic I | 6870 | None | None | |
| Free Standing Clinic II | 6880 | None | None | |
| Free Standing Clinic III | 6890 | None | None | |
| Home Health Services: | ||||
| Skilled Nursing Care | 6910 | None | None | |
| Medical Social Services | 6920 | None | None | |
| Home Health Aides | 6930 | None | None | |
| Other Home Health | 6990 | None | None | |
| (3) ANCILLARY SERVICES | ||||
| (i) | Labor and Delivery Services: | |||
| Labor and Delivery | 7010 | No. of Procedures | Ratio of Cost to Charges Applied to Charges (RCCAC) | |
| (ii) | Surgical Services Group: | |||
| Surgery Services | 7040 | No. of Surgery Minutes | RCCAC | |
| Recovery Services | 7060 | No. of Recovery Minutes | RCCAC | |
| Anesthesiology | 7080 | No. of Anesthesia Minutes | RCCAC | |
| (iii) | Medical Supplies and Equipment Group: | |||
| Medical Supplies Sold | 7110 | Dept. Charges | RCCAC | |
| Durable Medical Equipment— | ||||
| Sold | 7130 | Dept. Charges | RCCAC | |
| Leased/Rented | 7140 | Dept. Charges | RCCAC | |
| (iv) | Drugs Sold: | |||
| Drugs Sold | 7150 | Dept. Charges | RCCAC | |
| (v) | Laboratory Services Group: | |||
| Laboratory Services: | ||||
| Clinical Services | 7210 | C.A.P. Workload | RCCAC | |
| Pathological Services | 7230 | C.A.P. Workload | RCCAC | |
| Whole Blood & Packed Red Cells | 7250 | C.A.P. Workload | RCCAC | |
| Blood Storing & Processing | 7260 | C.A.P. Workload | RCCAC | |
| (vi) | Electrocardiology: | |||
| Electrocardiology | 7290 | C.A.P. Workload | RCCAC | |
| (vii) | Cardiac Catherization: | |||
| Cardiac Catherization Lab | 7310 | Dept. Charges | RCCAC | |
| (viii) | Radiology Services Group: | |||
| Radiology-Diagnostic | 7320 | California R.V.U. | RCCAC | |
| CT Scanner | 7340 | No. of Procedures | RCCAC | |
| Radiology-Therapeutic | 7360 | California R.V.U. | RCCAC | |
| Nuclear Medicine | 7380 | California R.V.U. | RCCAC | |
| (ix) | Respiratory Therapy: | |||
| Respiratory Therapy | 7420 | Dept. Charges | RCCAC | |
| (x) | Pulmonary Function: | |||
| Pulmonary Function Testing | 7440 | California R.V.U. | RCCAC | |
| (xi) | Neurology-Diagnostic: | |||
| Neurology-Diagnostic | 7460 | California R.V.U. | RCCAC | |
| (xii) | Therapy Services Group: | |||
| Physical Therapy | 7510 | Dept. Charges | RCCAC | |
| Occupational Therapy | 7530 | Dept. Charges | RCCAC | |
| Speech/Language Pathology | 7550 | Dept. Charges | RCCAC | |
| Recreational Therapy | 7570 | Assigned Time | RCCAC | |
| Audiology | 7580 | Dept. Charges | ROCAC | |
| Other Physical Medicine | 7590 | No. Of Treatments | RCCAC | |
| Psychiatric/Psychological | 7670 | Dept. Charges | RCCAC | |
| (xiii) | Renal Dialysis: | |||
| Renal Dialysis | 7710 | No. of Treatments | RCCAC | |
| (xiv) | Organ Acquisition and Other: | |||
| Kidney Acquisition | 7730 | None | RCCAC | |
| Other Organs Acquired | 7750 | None | RCCAC | |
| Other Ancillary Services | 7910 | Specify | RCCAC | |
| (4) OTHER OPERATING EXPENSES | ||||
| (i) | Research Expenses: | |||
| Research | 8010 | None | None | |
| (ii) | Education Expenses: | |||
| Nursing Education | 8220 | Assigned Time of Nursing Students | Assigned Time of Nursing Students | |
| Post Graduate Medical Education Primary Care Teaching Programs | ||||
| Approved—Internal Medicine | 8240 | Assigned Time of Students | To be Determined | |
| Approved—Family Practice | 8250 | Assigned Time of Students | To be Determined | |
| Approved—Pediatrics | 8260 | Assigned Time of Students | To be Determined | |
| Post Graduate Medical Education Other Approved Teaching Program | 8270 | Assigned Time of Students | Assigned Time of Students | |
| Post Graduate Medical Education Non-Approved Teaching Program | 8280 | Assigned Time of Students | None | |
| Other Health Professional Education | 8290 | Assigned Time of Students | None | |
| (iii) | General Services: | |||
| Dietary Services | 8310 | Patient Meals Served | Meals Served | |
| Non-Patient Food Service | 8320 | Adjusted F.T.E. Employees | F.T.E. Employees | |
| Laundry and Linen | 8330 | Pounds Distributed | Pounds of Laundry | |
| Social Work Services | 8350 | Time Spent | Daily Hospital and Ambulatory Services Gross Patient Revenue | |
| Housing | 8360 | Rooms Occupied by Department | Number Housed | |
| Plant Operations and Maintenance | 8410 | Net Square Feet | Square Feet | |
| Plant Maintenance | 8400 | Net Square Feet Maintained | Square Feet | |
| Plant Operation | 8410 | Net Square Feet | Square Feet | |
| Security | 8430 | Net Square Feet | Square Feet | |
| Parking | 8440 | Net Square Feet | Square Feet | |
| Housekeeping | 8450 | Assigned Time | Hours of Service | |
| Central Services and Supplies | 8460 | Central Services Costed Requisitions and Cost of Sales | Central Services Costed Requisitions and Cost of Sales | |
| Pharmacy | 8470 | Pharmacy Costed Requisitions and Cost of Sales | Pharmacy Costed Requisitions and Cost of Sales | |
| (iv) | Fiscal Services: | |||
| General Accounting | 8510 | Accumulated Cost | Direct Cost | |
| Patient Accounts, Admitting and Registration | 8520 | Accumulated Cost | Gross Patient Charges | |
| Admitting | 8530 | Accumulated Cost | To be Determined | |
| Registration | 8540 | Accumulated Cost | To be Determined | |
| (v) | Administrative Services: | |||
| Hospital Administration | 8610 | Accumulated Cost | Direct Cost | |
| Purchasing and Stores | 8690 | Direct Cost of Supplies Expensed | Direct Cost of Supplies Expensed | |
| Medical Records | 8710 | Hours of Service | Gross Patient Charges | |
| Medical Staff Administration | 8720 | Percent of Effort | Direct Cost | |
| Medical Staff Services | 8730 | Professional Component by Cost Center | None | |
| Medical Care Review | 8740 | Number of Inpatient Discharges (exclude Newborn) | None | |
| Nursing Administration | 8750 | Hours of Total Direct Nursing Service | Assigned Time | |
| Medical Photography and Illustration | 8760 | Time Spent | Direct Cost | |
| Fund Raising | 8780 | None | None | |
| (vi) | Unassigned Expenses: | |||
| Depreciation and Amortization—Fixed Assets | 8810 | Dollars of Depreciation | Square Feet | |
| Leases and Rentals— | 8815 | Dollars of Lease/Rent | Square Feet | |
| Fixed Assets | ||||
| Depreciation and Amortization—Movable Equipment | 8820 | Dollars of Depreciation | Square Feet or Dollar Value | |
| Leases and Rentals— Movable Equipment | 8823 | Dollars of Lease/Rent | Square Feet or Dollar Value | |
| Employee Benefits—Non-Payroll-Related | 8830 | F.T.E. Employees | F.T.E. Employees | |
| Insurance—Hospital and Professional | ||||
| Malpractice | 8840 | Accumulated Cost | None | |
| Insurance—Other | 8850 | Accumulated Cost | None | |
| Licenses and Taxes (Other than Income Taxes) | 8860 | Accumulated Cost | None | |
| Interest—Short-Term | 8870 | Accumulated Cost | None | |
| Interest—Long-Term | 8880 | Dollars of Interest | None |