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.
2007D37 | 00-0774 | 53-7025 | Whether the Intermediary's disallowance of accrued employee benefit costs that were not liquidated within one year after the end of the Provider's cost reporting period was proper. |
2005D43 | 00-0909G | Various | Should the Intermediary reclassify the Provider's Federal Insurance Contributions Act (FICA) tax expense from the Employee Benefits cost center to the Administrative and General cost center (A&G)? |
2005D14 | 00-0945 | 15-5258 | 1. Whether the Intermediary adjustment to disallow a portion of the owners' compensation was proper?; 2. Whether the Intermediary adjustment to disallow bad debts was proper? |
2003D50 | 00-0961G | Various | Was the Intermediary's adjustment to restorative nurses aides proper? |
2006D27 | 00-1020 | 03-0030 | Whether the Intermediary improperly failed to offset investment losses incurred by the Provider's home office against interest income earned on funds the Provider deposited with a trustee to retire the debt associated with an advance refunding transaction. |
2002D01 | 00-1056, 99-3600, 00-1057 | 45-0352 | Were the Intermediary's adjustments to the number of available beds for disproportionate share (DSH) qualification purposes proper? |
2007D53 | 00-1081 | 08-0003 | Whether the Intermediary's application of the reasonable compensation equivalent (RCE) limits was proper. |
2003D46 | 00-1172 | 55-7008 | Whether the Provider is entitled to an exception to the visit cost limits in accordance with Medicare regulations? |
2001D48 | 00-1179 | 25-7305 | 1. Was the Intermediary's adjustment, at the Home Office level, to the owner's bonus for untimely liquidation proper?; 2. Was the Intermediary's adjustment, at the Provider level, to employee bonuses for untimely liquidation proper? |
2002D09 | 00-1180 | 06-7256 | 1. Was the Intermediary's adjustment to reclassify cost to the Community Education cost center proper?; 2. Was the Intermediary's adjustment to reclassify travel expense to the Community Education cost center proper? |