PRRB Dec. No. 2011-D02

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Decision Number
PRRB Dec. No. 2011-D02
Case Name
Penrose/St. Francis Health Services vs. Wisconsin Physicians Service, Inc.
Issue
Whether the Intermediary improperly recouped alleged overpayments resulting from an incorrect cost-to-charge ratio (CCR) calculated and applied by the Intermediary to determine outlier payments made to the Provider for inpatient rehabilitation services furnished during the cost reporting periods at issue.

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