PRRB Dec. No. 2018-D05

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Decision Number
PRRB Dec. No. 2018-D05
Case Name
Kindred 2006-2014 LTCH/SNF Bad Debts CIRP Groups vs. Wisconsin Physicians Service
Issue
Whether the CMS “must-bill” policy applies to the Providers’ claimed dual eligible beneficiaries unpaid coinsurance and deductibles when the Providers do not participate in the respective State’s Medicaid program.

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