PRRB Dec. No. 2018-D04

Decision Number
PRRB Dec. No. 2018-D04
Case Name
Pomerene Hospital (F.K.A. Joel Pomerene Memorial Hospital) vs. CGS Administrators
Issue
Whether the Medicare Contractor’s adjustments to the Provider’s Electronic Health Record (EHR) incentive payment based on the exclusion of inpatient days for which the Provider provided covered services to Medicare Advantage (MA) patients is correct.

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