W. Va. Code R. § 65-26-4

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 65-26-4 - Calculation of Benchmark Rankings
4.1. The Authority shall calculate the benchmark rankings on an annual basis and inform all hospitals subject to rate review of their rankings and the increase for which they are eligible using the benchmark review. The Authority shall update the rankings annually using data of record on July 1 of each year. The Authority shall also annually adjust the thresholds for outliers by DRI.
4.2. Hospitals which have not submitted accurate or complete information, including uniform billing and financial disclosure data, are not eligible for the benchmarking rate review process. However, if the failure to submit complete and accurate data is determined by the Authority to be due to problems associated with the Authority's data contractor, then data from an earlier period, appropriately price leveled, may be used for the hospital's benchmark. The calculation of the benchmarks shall use all discharges for all payors.

W. Va. Code R. § 65-26-4