PRRB Dec. No. 2016-D13

Whether the Medicare Contractor properly calculated the amount of the Provider's exception to the routine cost limitations (RCLs) for hospital-based skilled nursing facilities (or HB-SNFs) by excluding from the calculation those costs that were above the HB-SNF RCL but below 112 percent of the peer group mean cost for hospital-based skilled nursing facilities (HB-SNFs).