2007-D61

Dynamic List Information
Dynamic List Data
Decision Number
2007-D61
Case Name
Montefiore Medical Center vs. BlueCross BlueShield Association/National Government Services - NY
Issue
Whether the Intermediary improperly limited the Provider's hospital-based Skilled Nursing Facility (SNF) routine cost limit exception amount to costs in excess of 112 percent of its peer group costs rather than costs in excess of the routine cost limit.

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