Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2005-D20
Case Name
Parkview Memorial Hospital vs. Blue Cross Blue Shield Association/ AdminaStar Federal
Issue
1. Whether for purposes of evaluating the Routine Cost Limit (RCL) exception request, the base year per diem amounts should be adjusted to reflect reclassifications made by the Provider.; 2. Whether the Intermediary properly offset the costs for the "private room differential" from the direct cost centers only.