Dynamic List Information
Dynamic List Data
Decision Number
2023-D32
Case Name
Bon Secours Memorial Regional Medical Center vs. Palmetto GBA c/o National Government Services
Issue
Whether the Provider is entitled to receive reimbursement for its Medicare Part C Managed Care costs incurred through its nursing and allied health (NAH) program, based on the requirements in
42 C.F.R § 413.87, when the Provider submitted no-pay bills to the Medicare Contractor in the UB92 format but the claimed costs in those bills were not captured in the Provider Statistical and
Reimbursement Report (PS&R) data for the Provider’s fiscal years (FYs) 2010 through 2013.
42 C.F.R § 413.87, when the Provider submitted no-pay bills to the Medicare Contractor in the UB92 format but the claimed costs in those bills were not captured in the Provider Statistical and
Reimbursement Report (PS&R) data for the Provider’s fiscal years (FYs) 2010 through 2013.