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Decision #
2010D38
Case #
10-0165G; 10-0162GC; and 10-0169GC
Provider #
Various
Issue
1. Should the Provider Reimbursement Review Board ("Board") grant the Providers' request for expedited judicial review ("EJR") over the question of whether Medicare Part C days should be excluded from the numerator and denominator of the Supplemental Security Income fraction of the disproportionate share adjustment? 2. Should the Board grant the Providers' request for EJR over the validity of the regulations, 42 C.F.R. Sections 405.1853(e)(2)(i), 405.1853(e)(5)(vii) and 405.1857(a)(1)(i), which insulate the Centers for Medicare and Medicaid Services from discovery and the Board's subpoena power? 3. Should the Board grant the Providers' request for EJR over failure by the Secretary to comply with Section 951 of the Medicare Modernization Act?
Case Name
King & Spalding Inclusion of Medicare Advantage Days in 2007 SSI Ratios Group; Shands HealthCare Inclusion of Medicare Advantage Days in 2007 SSI Ratios Group; North Shore Long Island Jewish Health Services Inclusion of Medicare Advantage Days in 2007 SSI Ratios Group
Decision Date
2010-06-29
Fiscal Year End
2007-2008