New Jersey Administrative Code

(a) The functions included in the Delivery and Labor Rooms (DEL) cost center are as follows: 1. Delivery and Labor Rooms provide nursing care by specially trained personnel to obstetrical patients and patients having gynecological procedures performed in the Delivery Suite. Cesar…

(a) The functions included in the Dialysis (DIA) cost center are as follows: Dialysis is a hospital based service employing the use of an artificial kidney machine for cleansing the blood. Dialysis shall include both hemodialysis and peritoneal dialysis procedures. The inclusion …

(a) The functions included in the Drugs Sold to Patients (DRU) cost center are as follows: 1. The Drugs Sold to Patients center shall be used for the accumulation of the invoice cost and corresponding revenue of all pharmaceuticals and intravenous solutions individually charged t…

(a) The functions included in the Electrocardiology (EKG) cost center are as follows: 1. Electrocardiology is a hospital service that utilizes specialized electrical equipment to record electromotive variations in actions of the heart muscle on an electrocardiograph for diagnosis…

(a) The functions included in the Laboratory (LAB) cost center are as follows: 1. Laboratory is normally a hospital based pathological or clinical service conducted under the direction of a qualified pathologist. All laboratory operations, including subsidiary laboratories of the…

Notes N.J. Admin. Code § 10:52-6.5 Repealed by R.2005 d.214, effective 7/5/2005. See: 37 New Jersey Register 436(a), 37 New Jersey Register 2506(a). Section was "Materiality".

(a) The functions included in the Medical and Surgical Supplies Sold (MSS) cost center are as follows: 1. The Medical and Surgical Supplies Sold center is used for the accumulation of the invoice cost and revenue of all medical and surgical supplies and equipment sold or rented d…

(a) The functions included in the Neurology, Diagnostic (NEU) cost center are as follows: 1. This center shall provide diagnostic neurology services such as electroencephalography and electromyography under the direction of a qualified physician. Specialized equipment is used to …

(a) The functions included in the Nuclear Medicine (NMD) cost center are as follows: 1. Nuclear Medicine is a hospital based service which provides diagnosis and treatment of patients by injectible or ingestible radioactive isotopes under the direction of a qualified physician. 2…

(a) The functions included in the Occupational and Recreational Therapy (OCC) cost center are as follows:1. Occupational therapy is the application of purposeful, goal-oriented activity, under the direction of a registered therapist and medical director, in the evaluation, diagno…

(a) The functions included in the Operating and Recovery Rooms (ORR) cost center are as follows: 1. Operating and Recovery Rooms provide surgical services to both inpatients and outpatients. These rooms shall be staffed with specially trained personnel who assist the surgeon duri…

(a) The functions included in the Organ Acquisition (ORG) cost center are as follows: 1. These centers acquire, store, and preserve human organs for their eventual transplantation to patients of the hospital. All direct costs incurred by the Laboratory, Operating and Recovery Roo…

(a) The functions included in the Physical Therapy (PHT) cost center are as follows: 1. Physical Therapy is a service employing therapeutic exercises and massage, and utilizing effective properties of light, heat, cold, water, and electricity in diagnosis and rehabilitation of pa…

(a) The functions included in the Psychiatric/Psychological Services (PSY) cost center are as follows: 1. This center provides psychiatric and psychological services, such as individual, group, and family therapy to adults, adolescents and families of hospital patients, but exclu…

(a) The functions included in the Radiology, Diagnostic (RAD) cost center are as follows: 1. Diagnostic Radiology is normally a hospital based service conducted under the direction of a qualified radiologist, and shall include procedures, such as angiograms (except coronary angio…

(a) The functions included in the Respiratory Therapy (RSP) cost center are as follows: 1. Respiratory therapy is a hospital based service for diagnosis and treatment of pulmonary diseases. This shall include pulmonary function testing, the administration of oxygen and certain po…

Notes N.J. Admin. Code § 10:52-6.6 Repealed by R.2005 d.214, effective 7/5/2005. See: 37 New Jersey Register 436(a), 37 New Jersey Register 2506(a).

(a) The functions included in the Speech Language Pathology and Audiology (SPA) cost center are as follows:1. Speech Pathology provides therapeutic treatment for disorders of production, reception and perception of speech and language. Audiology provides and coordinates services …

(a) The functions included in the Therapeutic Radiology (THR) cost center are as follows: 1. Therapeutic Radiology is a hospital based service providing therapy by radium and other radioactive substances, including cobalt therapy and linear accelerator treatment, under the direct…

(a) The functions included in the Central Supply Services (CSS) cost center are as follows: 1. Central Supply Services shall prepare and issue medical and surgical supplies and equipment, except pharmaceuticals and intravenous solutions to patients and to other cost centers. 2. T…

(a) The functions included in the Dietary (DTY) cost center are as follows: 1. Dietary shall be responsible for the procurement, storage, processing of food, delivery and collection of trays and nourishment to nursing units or outpatient centers. Costs of delivery of trays to the…

(a) The functions included in the Housekeeping (HKP) cost center are as follows: 1. Housekeeping shall be responsible for the maintenance of a clean and sanitary environment in the institution. The cost of routine cleansing of all areas, excluding Dietary (DTY) and Boiler Room (R…

(a) The functions included in the Laundry and Linen (L & L) cost center are as follows: Laundry and Linen is responsible for the requisitioning, laundering, distributing, controlling and mending linen, bedding, wearing apparel and disposable linen substitutes used by the hospital…

(a) The functions included in the Medical Records (MRD) cost center are as follows: 1. Medical Records shall be responsible for creating and maintaining a medical record for all patients and for maintaining a tumor registry in accordance with Department of Health requirements. (N…

(a) The functions included in the Pharmacy (PHM) cost center are as follows: 1. The Pharmacy procures, preserves, stores, compounds, manufactures, packages, controls, assays, dispenses, and distributes medications (including intravenous solutions) for inpatients and outpatients u…

(a) The functions included in the Social Services (SOC) cost center are as follows: 1. Social Services shall obtain, analyze, interpret social and economic information to assist in diagnosis, treatment and rehabilitation of patients. These services shall include: counseling of st…

(a) The functions included in the Research (RSH) cost center are as follows: 1. This center shall administer, manage, and carry on research projects of the National Institutes of Health or other projects approved by the Commissioner of the Department of Health in approved researc…

Notes N.J. Admin. Code § 10:52-6.7 Repealed by R.2005 d.214, effective 7/5/2005. See: 37 New Jersey Register 436(a), 37 New Jersey Register 2506(a). Section was "Accrual accounting".

(a) The functions of the Nursing and Allied Health Education (EDU) that are included in this cost center are as follows: 1. The Nursing and Allied Health Education Center provides organized programs, approved by an organization which recognizes the professional stature of health …

(a) The functions included in the Graduate Medical Education (GME) cost center are as follows: 1. Graduate Medical Education shall provide an organized program of graduate medical clinical education to interns and residents. A medical residency training program must be approved b…

(a) The functions included in the General Administrative Services (GAM) cost center are as follows: 1. General Administrative Services shall be those services associated with the overall direction and administration of the institution at all levels that are not readily distinguis…

(a) The functions included in the Inpatient Administrative Services (IAM) cost center are as follows: 1. Inpatient Administrative Services shall be those primarily associated with the overall direction and administration of inpatient services provided in the institution. For exam…

(a) The functions included in the Malpractice Insurance (MAL) cost center are as follows: 1. Malpractice Insurance shall include the institution's total premium or self-insurance cost for hospital and professional liability coverage. No other type of insurance coverage shall be i…

(a) The functions included in the Employee Health Insurance (EHI) cost center are as follows: 1. Employee Health Insurance shall include all premium payments and associated costs with union or group health insurance for employees. Hospitals which are self-insured for employees he…

(a) The functions included in the Repairs and Maintenance (RPM) cost center are as follows: 1. The Repairs and Maintenance center shall be responsible for maintenance and operation of an institution's buildings and equipment in a state of readiness required to perform hospital op…

(a) The functions included in the Utilities Cost (UTC) cost center are as follows: 1. The center shall be used to account for all utility costs such as electricity, gas, oil, disposal services and water. A breakdown of the cost and source of these utilities shall be provided. 2. …

Notes N.J. Admin. Code § 10:52-6.78 Recodified to N.J.A.C. 10:52-6.76 by R.2000 d.29, effective 1/18/2000. See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a).

Notes N.J. Admin. Code § 10:52-6.79 Recodified to N.J.A.C. 10:52-6.77 by R.2000 d.29, effective 1/18/2000. See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a).

Notes N.J. Admin. Code § 10:52-6.8 Amended by R.2000 d.29, effective 1/18/2000. See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a). In (a), inserted ", but is not limited to," following "includes", and substituted "and buckets" for ", buckets, etc." following "mop…

Notes N.J. Admin. Code § 10:52-6.9 Amended by R.2000 d.29, effective 1/18/2000. See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a). In (b), inserted ", but are not limited to," following "include", and substituted "and walls" for ", walls, etc." following "fences"…

(a) Diagnosis Related Groups (DRG) represent categories of hospital inpatients with similar clinical characteristics and, except for outliers, patients in each DRG can be expected to consume similar amounts of hospital resources. Assignment of a patient to a DRG requires the foll…

(a) Outliers are patients displaying atypical characteristics relative to other patients in a DRG. The three categories of outliers are defined and the methodology for outlier payment is established as follows. 1. High length of stay: Patients assigned to a DRG, but whose Length …

(a) The following are Major Diagnostic Categories (Organ System Approach): 1. Diseases and Disorders of the Nervous System. 2. Diseases and Disorders of the Eye. 3. Diseases and Disorders of the Ear, Nose, Mouth and Throat. 4. Diseases and Disorders of the Respiratory System. 5. …

(a) Medicare principles of reimbursement for GME and IME are as follows: 1. Direct GME is calculated based on Medicaid's and NJ FamilyCare-Plan A's fee-for-service share of the major teaching hospitals' intern and resident FTEs multiplied by their specific per resident amounts as…

Notes N.J. Admin. Code § 10:52-8.2 Repealed by 50 N.J.R. 1261(a), effective 5/21/2018

Notes N.J. Admin. Code § 10:52-8.3 Repealed by 50 N.J.R. 1261(a), effective 5/21/2018

Notes N.J. Admin. Code § 10:52-8.4 Repealed by 50 N.J.R. 1261(a), effective 5/21/2018

(a) Effective for payments on or after July 6, 1998, the GME payment shall be distributed in 12 monthly lump sum payments during the State Fiscal Year. The amount distributed shall be considered the final GME payment and shall not be reconciled. The GME payment shall not exceed t…

(a) Effective for payments on or after July 6, 1998, the amount appropriated for GME shall be distributed to all eligible acute care teaching hospitals. An eligible acute care teaching hospital is defined as an acute care teaching hospital that has a combined Medicaid/NJ FamilyCa…

(a) All hospitals, within 15 working days of receipt of the Proposed Schedule of Rates shall notify the Division of any calculation errors in the rate schedule that relate to adjustments that have been made to the rates since the previously announced schedule of rates. If upon re…