PRRB Dec. No. 2009-D27

Decision Number
PRRB Dec. No. 2009-D27
Case Name
St. Marys Hospital-Milwaukee vs. Blue Cross Blue Shield Association/National Government Services, LLC-WI
Issue
Whether the Intermediary improperly calculated the Provider's Medicare DSH adjustment by excluding 365 Long Term Respiratory Unit (LTRU) patient days from the Medicaid proxy of the DSH calculation.

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