PRRB Dec. No. 2011-D29

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Decision Number
PRRB Dec. No. 2011-D29
Case Name
Memorial Hospital of Salem County vs. BlueCross BlueShield Association/Highmark Medicare Services (formerly Riverbend Government Benefits Administrator)
Issue
Whether the Intermediary properly included all appropriate Medicaid eligible days in calculating the Provider's disproportionate patient percentage for purposes of the Medicare disproportionate share hospital (DSH) adjustment under the Prospective Payment System (PPS) for inpatient operating and capital costs for the fiscal year ended (FYE) December 31, 2001.

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