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Under section 1886(d)(10) of the Social Security Act and the regulations at 42 CFR 412.230, et seq, the Administrator has the authority to review decisions of the Medicare Geographic Classification Review Board (MGCRB). Regulations provide for Administrator's review both at the hospital's request or at the discretion of the Administrator. The Administrator must issue a decision on a hospital's request for review not later than 90 days from the date of the receipt of the request. Discretionary review must be completed within 105 days of the date of the MGCRB's decision. The regulations governing the procedures and criteria for Administrator review are contained at 42 CFR 412.278, et seq. The listings of the MGCRB's decisions include the Provider's name and Provider Number, the Case Number, and the form letter code which identifies the Board's decision. Listings include the MSA codes for both the requested area and the current area of the provider. Keys are also provided to translate the form letter codes.
Page Last Modified: 05/01/2008 2:01:38 PM
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