PRRB Dec. No. 2009-D11

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Decision Number
PRRB Dec. No. 2009-D11
Case Name
Quality Reimbursement Services (QRS)Catholic Healthcare West (CHW) DSH Labor Room Days Groups vs. Blue Cross Blue Shield Association/United Government Services, LLC -CA
Issue
Whether the Intermediary improperly disallowed from the calculation of the Provider's Disproportionate Share Hospital (DSH) payments, patient days associated with Medicaid patients who were admitted to the hospital prior to the day of giving birth and that were characterized by the Intermediary as labor days.

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