Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2021-D14
Case Name
Hazard ARH Regional Medical Center vs. CGS Administrators, LLC
Issue
1. Whether CMS’ decision to reduce the Provider’s Fiscal Year (FY) 2018 Inpatient Psychiatric Facility Prospective Payment System annual payment update (APU) by 2 percentage points was proper. 2. Whether CMS’ decision to reduce the Provider’s Calendar Year (CY) 2018 Outpatient Prospective Payment System APU by 2 percentage points was proper. 3. Whether CMS’ decision to reduce the Provider’s FY 2019 hospital Inpatient Quality Reporting Prospective Payment System APU by one-quarter was correct. 4. Whether CMS’ decision to exclude the Provider from participating in a hospital value based purchasing program for FY 2019 was proper.