N.J. Admin. Code § 8:31B-1.2

Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:31B-1.2 - Definitions

The following words and terms, as used in this chapter, shall have the following meanings unless the context clearly indicates otherwise.

"Adjusted admissions" means inpatient admissions increased to reflect outpatient activity and is calculated by admissions multiplied by total gross revenue divided by inpatient gross revenue.

"Audited Current Cost Base" means the current cost base of the hospital, as adjusted as a result of audits conducted by the Department and/or acceptance by the Department of adjustments initiated by the hospital, in addition to the adjustments.

"Current Cost Base" means the actual costs and revenues of the hospital as identified in the Financial Elements in the reporting period, as adjusted by the Department for completeness and/or mathematical accuracy.

"Department" means the Department of Health.

"Financial elements" means those items of revenue, expense, and other data defined in N.J.A.C. 8:31B-4for reporting to the Department .

"Hospital" means each general hospital and each specialty heart hospital that is licensed in accordance with N.J.A.C. 8:43G.

"Neonate" means a newborn less than 29 days of age.

"Reporting Period" means the most recent calendar or fiscal year prior to the June 30th submission deadline for the hospital's current cost base reports.

"Reporting Year" means the year in which current financial and statistical data is being reported.

"Uniform Bill--Patient Summary" (also referred to as the National Uniform Bill, the UB-04, or the CMS 1450) means a common billing and reporting form used by the hospital for each inpatient (see N.J.A.C. 8:31B-2).

N.J. Admin. Code § 8:31B-1.2

Amended by 50 N.J.R. 1494(a), effective 7/2/2018