Whether First Coast Service Options, Inc. (Intermediary) improperly excluded patient days associated with patients who were
dually eligible for both the Medicare and Medicaid programs but for such days there was no Medicare Part A payment or coverage
available (dual eligible days) from the numerators of both the Medicaid and Supplemental Security Income (SSI) percentages
of the Medicare disproportionate share hospital (DSH) computation for purposes of The Queen's Medical Center's (Provider)
fiscal year ended June 27, 1998 (FYE 6/27/98) Medicare cost report.