Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2007-D28
Case Name
Decatur County General Hospital vs. BlueCross BlueShield Association/Riverbend Government Benefits Administrators
Issue
Whether the Provider's fiscal years ending (FYEs) 6/30/00 and 6/30/01 ambulance cost per trip limits were improperly low because the Intermediary improperly applied the 5.8 percent outpatient operating cost reduction and the 10 percent outpatient capital cost reduction to base year costs utilized to calculate those limits.