Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2016-D16
Case Name
St. Anthony Regional Hospital vs. Wisconsin Physicians Service
Issue
Whether the Medicare Administrative Contractor (MAC), correctly determined the amount of the Sole Community Hospital (SCH) volume decrease adjustment (VDA) in accordance with the regulations and Program instructions per 42 C.F.R. § 412.92(e)(3), and the Provider Reimbursement Manual (PRM), CMS Pub. 15-1 at § 28101.1.