PRRB Dec. No. 2014-D11

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Decision Number
PRRB Dec. No. 2014-D11
Case Name
Cooper Hospital/University Medical Center vs. Blue Cross Blue Shield Association/Novitas Solutions, Inc.
Issue
Whether a provider's collection effort on inpatient and outpatient bad debts must include personal telephone calls to patients to comprise a reasonable collection effort. 2. Whether the Intermediary incorrectly determined that the regulations affirmatively preclude a write off of bad debts prior to 120 days after the first bill is sent. 3. Whether days associated with patients covered under the New Jersey Charity Care Program should be included in the numerator of the Medicaid proxy of the Medicare disproportionate share hospital ("DSH") calculation pursuant to 42 U.S.C. § 1395ww(d)(5)(F)(vi)(II).

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