DEPARTMENT OF INSURANCE
December 6, 2006
Bulletin 143
Patient's Compensation Fund – Surcharge Rates for Hospitals and Physicians
This bulletin is directed to all health care providers electing to be qualified under Indiana's Medical Malpractice Act (
IC 34-18-1-1 et seq.) and to insurers that provide coverage to those health care providers. This bulletin will replace Bulletin 134.
Pursuant to
IC 34-18-5-2, the Commissioner of the Department of Insurance in his capacity as administrator of the Patient's Compensation Fund hereby notifies physicians and hospitals of the following surcharge for qualification under the Medical Malpractice Act. The rates are effective for coverage beginning
March 1, 2007.
PHYSICIANS
The percentage increase to the physician rates is the same for each specialty class. A complete list of physician specialty class codes is published at
760 IAC 1-60.
| |
| CLASS | ANNUAL RATE |
| 0 | $2,997 |
| 1 | 3,996 |
| 2 | 5,595 |
| 3 | 7,194 |
| 4 | 8,992 |
| 5 | 11,989 |
| 6 | 17,984 |
| 7 | 27,975 |
| 8 | 33,969 |
HOSPITALS
The surcharge for a hospital is calculated using the attached worksheet. The completed worksheet shall be submitted to the Department along with the surcharge payment.
INDIANA DEPARTMENT OF INSURANCE
________________________________
James Atterholt, Commissioner
|
| HOSPITAL EXPOSURE WORKSHEET FOR SURCHARGE CALCULATION |
Name of Hospital: ______________________________________________________
License No: __________________________________________________________
Attach lists of the following:
(1) All facilities and/or services operated under the hospital license, as identified on the Department of Health Application for License to Operate a Hospital;
(2) All assumed business names used by the hospital;
(3) All employed physicians included in this coverage along with their specialty class code and surcharge computation;
Any entity, person or activity not identified in this surcharge worksheet may not be included in the hospital's coverage with the Patient's Compensation Fund.
| | | |
| CATEGORY | EXPOSURE | MANUAL | TOTAL |
| Provide # of Beds | | | Category x Manual=Total |
| | Hospital (Acute care and Intensive Care) | 916 | |
| | Mental Health/Rehabilitation | 458 | |
| | Extended Care/Intermediate Care/Residential | 46 | |
| | Nursing Home/Critical Extended Care | 458 | |
| | Health Institution/Assisted Living/Other | 183 | |
| | Bassinets | 916 | |
| # of Visits (in 100s) | | | |
| | Emergency Room | 91.61 | |
| | Clinics/Others | 45.81 | |
| | Mental Health/Rehabilitation | 22.90 | |
| | Health Institution | 18.32 | |
| | Home Health Care | 45.81 | |
| Provide # of Surgeries/Births (in 100s) | | | |
| | Births | 3,664.47 | |
| | Outpatient Surgeries | 91.61 | |
| | Inpatient Surgeries | 1,832.23 | |
| Employed* Physicians Sharing Limits | 100% of Specialty Code | | |
| | | SUB-TOTAL | |
| | Lack of Risk Management Program | 10% Penalty x sub-total | |
| | Hospital with > 500 beds | 3% multiplier of subtotal | |
| | | TOTAL DUE | |
Hospital bed - licensed hospital beds usually on a short term basis for patients who are need of acute medical treatment and skilled nursing care 24 hours a day (Intensive diagnostic and invasive treatment for acute illness).
Mental Health/ Mental and Physical Acute Rehab bed - Care, diagnosis, and treatment for acute psychiatric, emotionally challenged, and physical handicapped patients needing 24 hour supervision, assistance and treatment.
Extended Care/ Intermediate/ Residential bed- non-acute occasional incidental medical and emergency assistance to residents living independently in retirement apartments and communities. Facilities provided with security and emergency call boxes.
Nursing Home/Critical Extended Care bed - A step-down from acute medical care for patients still needing 24 hour nursing care usually for an extended or long term basis. Skilled care services needed such as medication administration, tube feeding, injections, catherizations [sic., catheterizations] and other procedures ordered by a physician.
Health Institution/ Assisted Living/Other bed - Sub-acute minor health care and related personal services to assist residents on an ongoing and regular basis. Minor nursing care and assistance in such activities as laundry, meal preparations, bathing, social functions.
*Employed physician - A physician is considered an employee for PCF purposes if the hospital withholds and pays Social Security and Medicare taxes and pays unemployment tax on wages paid to the employee. If a physician is treated as an independent contractor for tax purposes then he/she can not be considered an employee for PCF purposes.
Posted: 01/03/2007 by Legislative Services Agency
DIN: 20070103-IR-760060578NRA
Composed: May 04,2024 6:45:04PM EDT
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