Hospitals may submit a request for adjustment to their rate if:
• | The rate methodology or principles of reimbursement established in department publications were incorrectly applied, or |
• | Incorrect data or erroneous calculations were used in the establishment of the hospital's rate. |
In all circumstances, requests for adjustments to rates must show how the rate adjustment was calculated and contain sufficient detail to permit an audit. Requests must specify the nature and the amount of the adjustment sought. The burden of proof is on the requesting hospital.