PRRB Dec. No. 2022-D28

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Decision Number
PRRB Dec. No. 2022-D28
Case Name
Cedars – Sinai Medical Center vs. Noridian Healthcare Solutions c/o Cahaba Safeguard
Issue
Whether the reasonable compensation equivalent (RCE) limits should have been applied at all to pre-transplant time spent by physicians working for the Provider on organ acquisition-related activities and, if the RCE does apply, whether the Medicare Contractor has applied the wrong RCE limit in its calculation for fiscal year (FY) 2009