Dynamic List Information
Dynamic List Data
Decision Number
2012-D02
Case Name
L.O. Crosby Memorial Hospital vs. BlueCross BlueShield Association/Pinnacle Business Solutions, Inc.
Issue
1. Whether CMS is precluded from recovering the alleged overpayments from the Provider's fiscal year end 12/31/97 and 10/31/98 cost reports due to the Intermediary's issuance of the Notice of Program Reimbursement over ten years after the cost report year ends. 2. Whether the Intermediary improperly disallowed bad debts claimed and costs related to the hospital's unduplicated census for fiscal year ends 12/31/97 and 10/31/98.