PRRB Dec. No. 2020-D13

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Decision Number
PRRB Dec. No. 2020-D13
Case Name
Good Shepherd Hospice of Mid-America, Inc. vs. CGS Administrators
Issue
Whether the Medicare Contractor’s amended hospice cap calculation issued pursuant to the Notice of Reopening properly calculated the Provider’s hospice aggregate cap overpayment when it included in “the amount of payment made” certain funds that were sequestered and never paid to the Provider.