Barnes Jewish Hospital-St Louis (pdf) - Illinois Department of ...

Barnes Jewish Hospital
St Louis, MO
PEDIATRIC INPATIENT ADJUSTMENT PAYMENT
For the Period of July 1, 2011 through June 30, 2012
Hospital Is Excluded By Rule.
1. Hospital that was licensed by a municipality as a children’s hospital on or
before December 31, 1997:
N/A
2. FY97 Psychiatric Days for children under 18 years of age: N/A
3. FY97 Rehabilitation Days for children under 18 years of age: N/A
4. Total FY97 Psychiatric and Rehabilitation days {Line 2 + Line 3}*: N/A
5. Pediatric Inpatient Adjustment Payment per day multiplier: $816
6. Total Pediatric Inpatient Adjustment Payment in accordance with 148.298(a): N/A
{Line 4 * Line 5}
*Total psychiatric and rehabilitation days {Line 4} may not exceed 850 days.
7. Children’s Hospital: N/A
8. FY99 total Medicaid days *: N/A
9. Pediatric Inpatient Adjustment Payment per day multiplier: $113
10. Total Pediatric Inpatient Adjustment Payment in accordance with 148.298(b): N/A
{Line 8 * Line 9}
* Excludes Medicare crossover days.
11. Total Pediatric Inpatient Adjustment Payment {Line 6 + Line 10}: N/A
PLEASE NOTE: The calculations above and actual quarterly payments may vary due to rounding.