PRRB Dec. No. 2017-D30

Whether CMS June 27, 2012 determination that the Provider did not meet the quality reporting program requirements for Fiscal Year 2013 and that its failure to meet these requirements would result in a two percent (2.0%) reduction in the FY 2013 market basket update was proper; and whether CMS’ August 28, 2012 denial of the Provider’s request for reconsideration of the market basket update penalty was arbitrary and capricious or otherwise improper.