PRRB Dec. No. 2011-D41

Decision Number
PRRB Dec. No. 2011-D41
Case Name
Strategic Reimbursement/Carondelet/ Resurrection Health Medicare Part C Days-DSH Group Appeals vs. BlueCross Blue Shield Association/National Government Services/Noridian Administrative Services, LLC
Issue
Whether Medicare+Choice (M+C) days should be included in the Medicaid fraction used to calculate the disproportionate share hospital (DSH) adjustment.

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