PRRB Dec. No. 2011-D45

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Decision Number
PRRB Dec. No. 2011-D45
Case Name
Good Shepherd Rehabilitation Hospital- Bethlehem vs. Blue Cross Blue Shield Association/Highmark Medicare Services -PA
Issue
Whether the Intermediary properly reimbusred the Provider based on the blended rate for inpatient rehabilitation facilities (IRF) versus the 100 percent federal prospective payment system (PPS) rate for IRFs.

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