PRRB Dec. No. 2006-D55

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Decision Number
PRRB Dec. No. 2006-D55
Case Name
Saint Anthonys Health Center vs. BlueCross BlueShield Association/AdminaStar Federal Illinois
Issue
Whether the full amount of Provider's exception requests to the skilled nursing facility (SNF) routine service cost limits under 42 CFR 413.40(f) was properly denied because the Provider did not request the exceptions within 180 days of the original Notices of Program Reimbursement (NPR).

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