Barbara Straub Williams Wins Medicare Quality Data Reimbursement Decision
The Provider Reimbursement Review Board ruled in favor of Western Medical Center – Santa Ana in one of the only Board cases involving the “Reporting Hospital Quality Data for Annual Payment Update” or “RHQDAPU” program. PRRB Dec. No. 2011-D13 (Dec. 3, 2010). The CMS Administrator declined to review the decision. As a result of the decision, the Hospital’s federal fiscal year 2008 Medicare inpatient payments will be recalculated to restore a 2 percent reduction to the annual payment update that CMS had imposed.
