The report you are viewing for UH MacDonald Women's Hospital with period ending uses the 2552-96 format.
The presence of a clinical service is determined using data from a hospital's most recent Medicare Cost Report, Medicare inpatient claims data, Medicare outpatient claims data, and other sources.
The following specifications are based on the most common procedures within a clinical service and may not include less common procedures (i.e. the presence of the more common procedures was used to test for the presence of a service). Due to AMA copyright restrictions CPT procedure codes for outpatient services are not published on the website. They are, however, available to AHD subscribers upon request.
The following is a list of all services that may be reported for a hospital:
| Cardiovascular Services | ||
| Cardiac Rehab | More than ten Medicare outpatient claims for outpatient cardiac rehabilitation | |
| Cardiac Cath Lab | More than ten Medicare outpatient claims for left heart catheterization AND/OR more than ten Medicare inpatient claims for left or combined right and left heart catheterization | |
| Carotid Stenting | Hospital meets the CMS minimum facility standards for performing carotid artery stenting for high risk patients. | |
| Coronary Interventions | More than ten Medicare inpatient claims for removal of coronary artery obstruction and insertion of stent(s) | |
| Cardiac Surgery | More than ten Medicare inpatient claims for bypass anastomosis for heart revascularization | |
| Electrophysiology | More than ten Medicare inpatient or outpatient claims for comprehensive electrophysiologic evaluation | |
| Vascular Surgery | More than ten Medicare inpatient claims for resection of vessel with replacement and/or aortic-iliac-femoral bypass | |
| Vascular Intervention | More than ten Medicare outpatient claims for percutaneous transluminal balloon angioplasty. | |
| Emergency Services | ||
| Emergency Department | More than 50 emergency department visits (based on estimated volumes reported elsewhere on the hospital profile). | |
| ACS/COT Approved Trauma Program | Verification status provided by The American College of Surgeons (ACS) Committee on Trauma (COT) Verification Program. | |
| Neurosciences | ||
| Electroencephalography (EEG) | More than ten Medicare outpatient claims for routine EEG and/or special EEG tests. | |
| Sleep Studies | More than ten Medicare outpatient claims for sleep testing AND/OR more than ten Medicare inpatient claims for polysomnogram | |
| Oncology Services | ||
| Radiation Therapy | More than ten Medicare outpatient claims for delivery of radiation therapy (6-19 MeV) | |
| Chemotherapy | More than ten Medicare outpatient claims for chemotherapy | |
| Orthopedic Services | ||
| Arthroscopy | More than ten Medicare outpatient claims for arthroscopy with meniscectomy (medial or lateral) | |
| Joint Replacement | More than ten Medicare inpatient claims for total hip replacement and more than ten Medicare inpatient claims for total knee replacement. | |
| Spine Surgery | More than ten Medicare inpatient claims for spinal fusion, refusion of spine, and/or certain other procedures on spine | |
| Organ Transplant (Medicare certified) | ||
| Heart | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 127, column 1) | |
| Intestinal | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 131, column 1) | |
| Kidney | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 126, column 1) | |
| Liver | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 128, column 1) | |
| Lung | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 129, column 1) | |
| Pancreas | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 130, column 1) | |
| Radiology / Nuclear Medicine / Imaging | ||
| Computed Tomography (CT) Scanner | More than ten Medicare outpatient claims for CT of head or brain, pelvis, or abdomen | |
| Computed Tomography Angiography (CTA) | More than ten Medicare outpatient claims for CTA of chest, abdomen, pelvis, or neck | |
| Digital Mammography | More than ten Medicare outpatient claims for digital mammography | |
| Intensity-Modulated Radiation Therapy (IMRT) | More than ten Medicare outpatient claims for IMRT | |
| Magnetic Resonance Angiography (MRA) | More than ten Medicare outpatient claims for MRA of abdomen, chest, or lower extremity | |
| Magnetic Resonance Imaging (MRI) | More than ten Medicare outpatient claims for MRI of brain or spinal canal | |
| Positron Emission Tomography (PET) | More than ten Medicare outpatient claims for PET imaging of heart, brain, and/or tumor | |
| Single Photon Emission Computerized Tomography (SPECT) | More than ten Medicare outpatient claims for SPECT single or multiple studies | |
| Rehabilitation Therapies | ||
| Speech Therapy | More than ten Medicare outpatient claims for aural rehabilitation | |
| Physical Therapy | More than ten Medicare outpatient claims for therapeutic exercises to develop strength, endurance, range of motion, and flexibility. | |
| Surgery | ||
| Inpatient Surgery | More than ten Medicare inpatient claims for surgical DRGs | |
| Radiosurgery | More than ten Medicare claims for radiosurgery | |
| Robotic Surgery | More than ten Medicare claims for computer assisted robotic surgery | |
| Wound Care | ||
| Hyperbaric Oxygen | More than ten Medicare outpatient claims for hyperbaric oxygen | |
| Wound Care | More than ten Medicare outpatient claims for removal of devitalized tissue from wounds | |
| Other Services | ||
| Hemodialysis | More than ten Medicare inpatient claims for hemodialysis | |
| Home Health | Hospital-based home health agency per the hospital's most recent cost report (W/S S-2, part I, line 12, column 2 or 3) | |
| Hospice | Hospital-based hospice per the hospital's most recent cost report (W/S S-2, part I, line 14, column 2 or 5) | |
| Lithrotripsy (ESWL) | More than ten Medicare outpatient claims for extracorporeal shock wave lithotripsy | |
| Obstetrics | More than 50 births (based on estimated volumes reported elsewhere on the hospital profile). | |
| Subprovider Units | ||
| Psychiatric | Beds designated in a psychiatric distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 16, column 2) | |
| Rehabilitation | Beds designated in a rehabilitation distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 17, column 2) | |
| Skilled Nursing (SNF) | Designated skilled nursing beds per the hospital's most recent cost report (W/S S-3, part 1, line 19, column 2) | |
| Nursing Facility (NF) | Designated nursing facility beds per the hospital's most recent cost report (W/S S-3, part 1, line 20, column 2) | |
| Swing Beds - SNF | Designated SNF swing bed revenue per the hospital's most recent cost report (W/S G-2, part 1, line 5, column 3) | |
| Swing Beds - NF | Designated NF swing bed revenue per the hospital's most recent cost report (W/S G-2, part I, line 6, column 3) | |
| Special Care | ||
| Intensive Care Unit (ICU) | Beds designated in an ICU per the hospital's most recent cost report (W/S S-3, part 1, line 8, column 2) | |
| Coronary Intensive Care (CCU) | Beds designated in a CCU per the hospital's most recent cost report (W/S S-3, part 1, line 9, column 2) | |
| Burn Intensive Care (BICU) | Beds designated in a BICU per the hospital's most recent cost report (W/S S-3, part 1, line 10, column 2) | |
| Surgical Intensive Care (SICU) | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 11, column 2) | |
| Psychiatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.05, column 2) | |
| Pediatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.10, column 2) | |
| Neonatal Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.15, column 2) | |
| Trauma Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.20, column 2) | |
| Detox Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.25, column 2) | |
| Premature Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.30, column 2) | |
The presence of a clinical service is determined using data from a hospital's most recent Medicare Cost Report, Medicare inpatient claims data, Medicare outpatient claims data, and other sources.
The following specifications are based on the most common procedures within a clinical service and may not include less common procedures (i.e. the presence of the more common procedures was used to test for the presence of a service). Due to AMA copyright restrictions CPT procedure codes for outpatient services are not published on the website. They are, however, available to AHD subscribers upon request.
The following is a list of all services that may be reported for a hospital:
| Cardiovascular Services | ||
| Cardiac Rehab | More than ten Medicare outpatient claims for outpatient cardiac rehabilitation | |
| Cardiac Cath Lab | More than ten Medicare outpatient claims for left heart catheterization AND/OR more than ten Medicare inpatient claims for left or combined right and left heart catheterization | |
| Coronary Interventions | More than ten Medicare inpatient claims for removal of coronary artery obstruction and insertion of stent(s) | |
| Cardiac Surgery | More than ten Medicare inpatient claims for bypass anastomosis for heart revascularization | |
| Electrophysiology | More than ten Medicare inpatient or outpatient claims for comprehensive electrophysiologic evaluation | |
| Vascular Surgery | More than ten Medicare inpatient claims for resection of vessel with replacement and/or aortic-iliac-femoral bypass | |
| Vascular Intervention | More than ten Medicare outpatient claims for percutaneous transluminal balloon angioplasty. | |
| Emergency Services | ||
| Emergency Department | More than 50 emergency department visits (based on estimated volumes reported elsewhere on the hospital profile). | |
| Neurosciences | ||
| Electroencephalography (EEG) | More than ten Medicare outpatient claims for routine EEG and/or special EEG tests. | |
| Sleep Studies | More than ten Medicare outpatient claims for sleep testing AND/OR more than ten Medicare inpatient claims for polysomnogram | |
| Oncology Services | ||
| Radiation Therapy | More than ten Medicare outpatient claims for delivery of radiation therapy (6-19 MeV) | |
| Chemotherapy | More than ten Medicare outpatient claims for chemotherapy | |
| Orthopedic Services | ||
| Arthroscopy | More than ten Medicare outpatient claims for arthroscopy with meniscectomy (medial or lateral) | |
| Joint Replacement | More than ten Medicare inpatient claims for total hip replacement and more than ten Medicare inpatient claims for total knee replacement. | |
| Spine Surgery | More than ten Medicare inpatient claims for spinal fusion, refusion of spine, and/or certain other procedures on spine | |
| Organ Transplant (Medicare certified) | ||
| Heart | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.02, column 2) | |
| Intestinal | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.06, column 2) | |
| Kidney | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.01, column 2) | |
| Liver | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.03, column 2) | |
| Lung | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.04, column 2) | |
| Pancreas | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, line 23.05, column 2) | |
| Radiology / Nuclear Medicine / Imaging | ||
| Computed Tomography (CT) Scanner | More than ten Medicare outpatient claims for CT of head or brain, pelvis, or abdomen | |
| Computed Tomography Angiography (CTA) | More than ten Medicare outpatient claims for CTA of chest, abdomen, pelvis, or neck | |
| Intensity-Modulated Radiation Therapy (IMRT) | More than ten Medicare outpatient claims for IMRT | |
| Magnetic Resonance Angiography (MRA) | More than ten Medicare outpatient claims for MRA of abdomen, chest, or lower extremity | |
| Magnetic Resonance Imaging (MRI) | More than ten Medicare outpatient claims for MRI of brain or spinal canal | |
| Positron Emission Tomography (PET) | More than ten Medicare outpatient claims for PET imaging of heart, brain, and/or tumor | |
| Single Photon Emission Computerized Tomography (SPECT) | More than ten Medicare outpatient claims for SPECT single or multiple studies | |
| Rehabilitation Therapies | ||
| Speech Therapy | More than ten Medicare outpatient claims for aural rehabilitation | |
| Physical Therapy | More than ten Medicare outpatient claims for therapeutic exercises to develop strength, endurance, range of motion, and flexibility. | |
| Wound Care | ||
| Hyperbaric Oxygen | More than ten Medicare outpatient claims for hyperbaric oxygen | |
| Wound Care | More than ten Medicare outpatient claims for removal of devitalized tissue from wounds | |
| Other Services | ||
| Hemodialysis | More than ten Medicare inpatient claims for hemodialysis | |
| Home Health | Hospital-based home health agency per the hospital's most recent cost report (W/S S-2, line 9, column 2 or 3) | |
| Hospice | Hospital-based hospice per the hospital's most recent cost report (W/S S-2, line 12, column 2 or 3) | |
| Inpatient Surgery | More than ten Medicare inpatient claims for surgical DRGs | |
| Lithrotripsy (ESWL) | More than ten Medicare outpatient claims for extracorporeal shock wave lithotripsy | |
| Obstetrics | More than 50 births (based on estimated volumes reported elsewhere on the hospital profile). | |
| Subprovider Units | ||
| Psychiatric | Beds designated in a psychiatric distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 14.x, column 1) | |
| Rehabilitation | Beds designated in a rehabilitation distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 14.x, column 1) | |
| Skilled Nursing (SNF) | Designated skilled nursing beds per the hospital's most recent cost report (W/S S-3, part 1, line 15, column 1) | |
| Nursing Facility (NF) | Designated nursing facility beds per the hospital's most recent cost report (W/S S-3, part 1, line 16, column 1) | |
| Swing Beds - SNF | Designated SNF swing bed revenue per the hospital's most recent cost report (W/S G-2, line 4, column 3) | |
| Swing Beds - NF | Designated NF swing bed revenue per the hospital's most recent cost report (W/S G-2, line 5, column 3) | |
| Special Care | ||
| Intensive Care Unit (ICU) | Beds designated in an ICU per the hospital's most recent cost report (W/S S-3, part 1, line 6, column 1) | |
| Coronary Intensive Care (CCU) | Beds designated in a CCU per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 1) | |
| Burn Intensive Care (BICU) | Beds designated in a BICU per the hospital's most recent cost report (W/S S-3, part 1, line 8, column 1) | |
| Surgical Intensive Care (SICU) | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 9, column 1) | |
| Psychiatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.05, column 1) | |
| Pediatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.10, column 1) | |
| Neonatal Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.15, column 1) | |
| Trauma Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.20, column 1) | |
| Detox Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.25, column 1) | |
| Premature Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 10.30, column 1) | |