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4 N.J.A.R. 76

Elmer Community Hospital, In the Matter of the 1979 Hospital Rate Appeal of
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Citation: 4 N.J.A.R. 76
Decision Date: 1979
Agency: DEPARTMENT OF HEALTH
Synopsis: After rejecting a 'global rate' of per diem reimbursement for pruposes of Blue Cross and governmental purchases of health care services and after finding the 'administrative payment rate' inade- quate, Elmer Community Hospital filed an appeal of its established reimbursement rates. The administrative law judge assigned to the case determined that the hospital was asking for approval of additional costs in three 'centers': policy finance benefit costs, fisical costs, plant costs and for relief of the base period challenge in the emergency room cost center. The judge determined that the hospital failed to sustain its burden of proof for improvement in each of the three areas and accordingly denied the change in established reimbursement rates. Charles Lee Harp, Jr., Esq., for Elmer Community Hospital (Archer, Greiner & Read, attorneys) Peter T. Manzo, Assistant Deputy Public Advocate, Division of Rate Counsel (Stanley C. Van Ness, Public Advocate, attorney)