Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2022-D35
Case Name
QRS 2006 Outlier Reconciliation Group vs. Palmetto GBA c/o National Government Services, Inc.
Issue
Whether the Centers for Medicare and Medicaid Services (CMS) was arbitrary and capricious in establishing a 10 percent threshold in 2003 and whether CMS was arbitrary and capricious in using the same 10 percent threshold in 2006 to determine whether Providers would be subject to outlier reconciliation adjustments for fiscal year (FY) 2006.