WAC 296-23A-0600
How can a
hospital request a rate adjustment? 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.