PRRB Dec. No. 2019-D15

Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2019-D15
Case Name
MUSC Medical Center/Medical University Hospital Authority vs. Palmetto GBA c/o National Government Services, Inc.
Issue
1. Whether the Medicare Administrative Contractor’s decision to reclassify the costs and statistics out of the paramedical pass-through cost center was proper. This issue applies to the fiscal years ending June 30, 2007 and June 30, 2008. 2. Whether the Medicare Administrative Contractor’s decision to classify certain Cornea tissue expense, charges, statistics, and program charges on Line 59.04 rather than Line 60.05 on several worksheets was proper. This issue applies to FYs 2007 and 2008. 3. Whether the Medicare Administrative Contractor’s decision to classify certain Bone Marrow expenses, charges, statistics and program charges on Line 86 (as an organ acquisition cost) rather than Line 60.07 on several worksheets was proper.