PRRB Dec. No. 2014-D16

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Decision Number
PRRB Dec. No. 2014-D16
Case Name
Lakes Regional Healthcare vs. Blue Cross Blue Shield Association/Wisconsin Physicians Service
Issue
Whether the Medicare Administrative Contractor (MAC), properly calculated the Medicare dependent hospital volume decrease adjustment (VDA) for the Provider, for fiscal year 2006, by excluding certain variable and semi-fixed costs.

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