2010-D24

Dynamic List Information
Dynamic List Data
Decision Number
2010-D24
Case Name
The Queens Medical Center vs. BlueCross BlueShield Association/First Coast Services Options, Inc.-CA
Issue
Whether the 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 Provider's fiscal year ended June 27, 1998 (FYE 6/27/98) Medicare cost report.

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