The Provider Reimbursement Review Board is an independent panel to which a certified Medicare provider of services may appeal if it is dissatisfied with a final determination of its fiscal intermediary or the Centers for Medicaid & Medicare Services (CMS). A decision of the Board may be affirmed, modified, reversed or vacated and remanded by the CMS Administrator within 60 days of notification to the provider of that decision.
| 2001D52 | 97-2064R, 97-2148R, 98-0474 (On the Record) | 43-0077 | Whether, with respect to the Joint Nursing Education Program, the provisions of Section 4004(b) of the Omnibus Reconciliation Act of 1990 ('OBRA 1990') are applicable to the cost years at issue, and if so, whether the Provider meets the criteria set forth in Section 4004(b)(2) of OBRA 1990 for payment of the claimed costs as reasonable costs? |
| 2007D57 | 00-2326 | 14-0088 | Whether the time spent by residents conducting research in the Provider's facility as part of an approved residency program should be in the Indirect Medical Education FTE calculation. |
| 2008D24 | 01-0679; 02-0244 | 05-0043 | Whether the TEFRA base year used by the fiscal intermediary to compute a target amount for the Provider's excluded psychiatric unit for the February 28, 1998 and February 28, 1999 cost years was proper. |
| 2007D22 | 01-0654; 02-0235 | 01-7009 | Whether the relevant claims were timely filed by Alacare under 42 C.F.R. Section 424.44. |
| 2008D01 | 05-0686 | 15-0011 | Whether the recission of the hospital's approved request for Sole Community Hospital (SCH) status was proper. |
| 2002D26 | 96-0623 | 23-0227 | Whether the Provider's renal dialysis exception request (the "Exception Request") should be deemed to have been approved, pursuant to 42 U.S.C. Section 1395rr(b)(7), where the Centers for Medicare & Medicaid Services ("CMS") rendered the determination within sixty days but neither the Intermediary nor the Provider received notice of the determination within sixty working days. |
| 2007D40 | 04-2269 | 05-0150 | Whether the Provider's regular Medicare outpatient bad debts are not allowable until all collection efforts including those of a collection agency have ceased. |
| 2006D56 | 04-0660 | 05-0444 | Whether the Provider's regular Medicare outpatient bad debts are not allowable until all collection efforts including those of a collection agency have ceased. |
| 2005D01 | 02-0212, 02-0213,02-0214 et al | 40-7019;40-7013;40-7017;et al | Whether the Providers' receivable financing was a loan or a sale of assets? |
| 2007D58 | 03/0759 | 22-0089 | Whether the Provider's Notice of Program Reimbursement (NPR) dated September 24, 2002 was an original or a revised NPR. |
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