Dynamic List Information
Dynamic List Data
Decision Number
2014-D17
Case Name
Wyatt, Tarrant & Combs FFY 07 Occupational Mix Adjustment Group vs. Blue Cross and Blue Shield Association/CGS Administrators, LLC
Issue
1. Whether the inclusion of surgical technicians, mental health technicians, and heart center recovery technicians in the all-others category instead of the nursing aides, orderlies and attendants category in the Provider's occupational-mix survey was correct. 2. Whether the fact that CMS and its Intermediaries did not classify medical technicians uniformly and that some medical technicians are classified in nursing aides, orderlies and attendants category for some other hospitals, even while the Intermediary was excluding them from that category here, requires that they be reclassified here as nursing aides, orderlies and attendants, and that the Provider's occupational mix adjustments be recalculated.