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Decision #
2019D26
Case #
16-0140
Provider #
67-1710
Issue
1.) Whether the sequestration amount should be included when calculating the aggregate payment made to Novus Health Services ("Novus" or "Provider") as the reduction in payment through sequestration does not constitute actual Medicare payments made to Novus. 2.) Whether Palmetto GBA c/o National Government Services' ("Medicare Contractor" or "NGS")reopening(s) is/are invalid, as the Medicare Contractor failed to comply with applicable Medicare statutes, regulations, and guidelines when doing so.
Case Name
Novus Health Services
Decision Date
5-20-2019
Fiscal Year End
10-31-2013