Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2013-D14
Case Name
St. Francis Hospital, Inc. vs. Blue Cross and Blue Shield Association/Palmetto Government Benefits Administrators
Issue
Whether the Intermediary's determination not to increase certain Medicare cost outlier payments was proper, where the outliers were underpaid because of an erroneous overpayment of DSH, which was a factor in the outlier amount calculation and which the MAC subsequently recouped without recalculating the affected outliers.