Clinical Mission

Sales and Services Revenue:

Sales and Service associated with Affiliated Hospitals should use a Budget/Subclass of 71.  All other Sales and Services Revenue should remain on 72.

Affiliated Hospitals include any hospital that we currently do have a profit sharing arrangement. Our current list includes:

  • Barnes Jewish Hospital
  • St. Louis Children’s Hospital
  • Barnes Jewish West County Hospital
  • Orthopedic Center in Chesterfield
  • Children’s Specialty Care Center Chesterfield
  • Siteman Cancer Center South County (formerly referred to as Phase I)
  • Center for Advanced Medicine South County (formerly referred to as Phase II)

Example: Budget/Subclass Object of 71-95

Clinical Practice(15): Direct patient  care services to individual patients normally eligible to be billed to Medicare, commercial insurance or the patient. Represents the RVU-generating activity–time spent on activities that focus on directly identifiable patient care services for which a professional fee to a patient is generated. Includes:

  • Inpatient, outpatient, procedural, surgical, laboratory-based, or outreach activity for which an Internal professional generating bill could be generated.
  • Additional time spent delivering patient care due to the presence and supervision of residents, fellows or medical students.
  • Follow-up and documentation time required supporting direct patient care.
  • Tumor boards, multimodality clinics in which the participating physician cannot bill.
  • Medical staff, billing staff (compliance), coders, insurance precertification.

Payroll Object Code

FIS A-21 Category Code
(424 Code)
FIS Function Code
(450 Code)

Space Indirect Cost
(IDC) Code

15

01 15

95

Graduate Medical Education(16):  Supervision and instruction of persons enrolled in accredited intern, residency and fellow programs.

  • Program Directors, Associate Program Directors or appointments that take a significant portion of a faculty member’s time in support of the GME.
  • Faculty and support staff recruiting, scheduling rotations, and other support activities.
  • Preparing for and leading grand rounds.

Excludes: Time instructing residents or fellows in a non ACGME accredited program.

Payroll Object Code

FIS A-21 Category Code
(424 Code)
FIS Function Code
(450 Code)
Space Indirect Cost
(IDC) Code
16 01 18

95

Affiliated Services:  Includes all services, general clinical support activities and contractual agreements that benefit the defined Affiliated Hospitals listed below, and do not generate an RVU or fee for service revenue for WUSM.  Examples include:

  • General oversight of clinical activities in the hospitals and hospital-based clinics
  • Service on Hospital Committees (including administrative and leadership committees)
  • Administrative and general patient care services (reimbursable as Medicare Part A services)
  • Patient safety and quality assurance activities
  • Staff/Physician credentialing
  • Contracts for specific medical direction services and/or clinical mission support agreements
  • Medical management of hospital based clinical service lines programs such as anesthesiology, radiology, emergency medicine, infection control, and laboratory/pathology.

Affiliated Hospitals include any hospital that we currently do have a profit sharing arrangement. Our current list includes:

Object Code:

  • Barnes Jewish Hospital (56)
  • St. Louis Children’s Hospital (59)
  • Barnes Jewish West County Hospital (58)
  • Orthopedic Center in Chesterfield (58)
  • Children’s Specialty Care Center Chesterfield (59)
  • Siteman Cancer Center South County (formerly referred to as Phase I) (58)
  • Center for Advanced Medicine South County (formerly referred to as Phase II) (58)

Excludes:

  • Supervision of residents, Contracts with MO Baptist and Shriners

Payroll Object Code

FIS A-21 Category Code
(424 Code)
FIS Function Code
(450 Code)
Space Indirect Cost
(IDC) Code
56, 58, 59 01 58

95

Non-Affiliated Services: Includes all services, general clinical support activities and contractual agreements that benefit a non-Affiliated Hospital defined below, and do not generate an RVU or fee for service revenue for WUSM. Agreements can include “Flat Fee” or Bundled Payment contracts where there is direct patient care and no WUSM RVU’s or fee for service revenues generated.  Examples include:

  • General oversight of clinical activities in the hospitals and hospital-based clinics
  • Service on Hospital Committees (including administrative and leadership committees)
  • Administrative and general patient care services (reimbursable as Medicare Part A services)
  • Patient safety and quality assurance activities
  • Staff/Physician credentialing
  • Contracts for specific medical direction services and/or clinical mission support agreements
  • Medical management of hospital based clinical service lines programs such as anesthesiology, radiology, emergency medicine, infection control, and laboratory/pathology.
  • Non-Affiliated Hospitals include any hospital that we currently do not have a profit sharing arrangement.  Current examples include MO Baptist and Shriners.

Excludes:

  • Supervision of residents, Contracts with Affiliated Hospitals

Payroll Object Code

FIS A-21 Category Code
(424 Code)
FIS Function Code
(450 Code)
Space Indirect Cost
(IDC) Code
57 01 57

95