[3211] This group of accounts (3000-3990)
is used to report the gross revenue, measured in terms of the hospital's full
established rates, earned from daily hospital services rendered to inpatients.
These revenues must be reported at the hospital's full established rates,
regardless of the amounts actually collected.
(b) Daily hospital services generally are
those services included by the provider in a daily service charge-sometimes
referred to as the "room and board" charge. Included in daily hospital services
are the regular room, dietary and nursing services, minor medical and surgical
supplies, medical social services, and the use of certain equipment and
facilities for which the hospital does not customarily make a separate
charge.
(c) Daily hospital services
are categorized into broad areas: acute care, intensive care, nursery, and
sub-acute care.
(d)
Acute
Care.
This group of accounts (3010 - 3290) is used to report
the gross revenues, measured in terms of the hospital's full established rates
earned from daily hospital services provided to patients who are in an acute
phase of illness but not to the degree which requires the concentrated and
continuous observation and care provided in the intensive care units of a
hospital.
(e)
Intensive Care.
(1) This group of
accounts (3310 - 3490) is used to report the gross revenues measured in terms
of the hospital's full established rates earned from inpatients who require
extraordinary observation and care on a concentrated basis.
(2) The intensive care unit must meet the
following conditions:
(i) The unit must be
physically and identifiably separate from other areas. There cannot be a
concurrent sharing of nursing staff between an intensive care type unit and
units or areas furnishing different levels or types of care. However, two or
more intensive care type units that concurrently share nursing staff can be
reported as one combined intensive care type unit if all other criteria are
met. Float nurses (nurses who work in different units on an as-needed basis)
can be utilized in the intensive care type unit.
(ii) There must be specific written policies
that include criteria for admission to, and discharge from, the unit.
(iii) Registered nursing care must be
furnished on a continuous 24-hour basis. At least one registered nurse must be
present in the unit at all times.
(iv) A minimum nurse/patient ratio of one
nurse to two patients per patient day must be maintained. Included in the
calculation of this nurse/patient ratio are registered nurses, licensed
vocational nurses, licensed practical nurses, and nursing assistants who
provide patient care. Not included are general support personnel such as ward
clerks, custodians and housekeeping personnel.
(v) The unit must be equipped with, or have
available for immediate use, lifesaving equipment necessary to treat the
critically ill patients for which it is designed. This equipment may include,
but is not limited to, respiratory and cardiac monitoring equipment,
respirators, cardiac defibrillators, and wall or canister oxygen and compressed
air.
(f)
Nursery.
These accounts (3510 & 3520) are used to report
gross revenues measured in terms of the hospital's full established rates
earned from nursery services provided to newborn infants who require routine
and/or premature care.
(g)
Sub-Acute Care.
This group of accounts (3610 - 3690) is used to report
the gross revenues measured in terms of the hospital's full established rates
earned from services provided to patients who require a level of nursing care
less than acute, including residential care.
