From: CMS Administrator Decision – Not Yet Posted (6/8/12)
Glenn Bunting, Vice President of our Appeals, team learned earlier today from a PRRB representative that the Norwalk Hospital (PRRB Decision 2012-D14) has been overruled by the CMS Administrator. The CMS Administrator’s decision has not yet been published.
In this case the FI challenged the PRRB’s jurisdiction over Medicaid eligible days where there was no adjustment made by the FI in the finalization of the Medicare cost report. The Board concluded in this case that they (i.e. The PRRB) have jurisdiction over the DSH – Medicaid Eligible Days issue.
We will post the decision for viewing in a later News You Need to Know reporting.