Case Study - Brewster, Washington

In 2001, C. Mark Hansen uncovered a $10.00 per patient day reimbursement error done by the Washington Department of Social and Health Services when analyzing and forecasting the Medicaid rate for a skilled nursing facility in Brewster, Washington. Further investigation revealed that state had made this same reimbursement error on approximately 68 facilities for over a year at a total estimated cost to nursing home operators of $6,800,000. This discovery resulted in new reimbursement regulations being adopted by the State of Washington in 2001. The facility received a retroactive payment for the error going back for over a year.