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.
| 2003D60 | 00-0064 | 46-7051 | 1. Was the Intermediary's adjustment to home office costs proper?; 2. Was the Intermediary's adjustment disallowing a portion of the auto allowance proper?; 3. Was the Intermediary's adjustment to travel and lodging costs proper? |
| 2007D38 | 00-01032; 01-2147 | 24-5610 | Whether the denial of the Provider's request for a new provider exemption from the skilled nursing facility routine cost limits was proper. |
| 2003D41 | 00-0346; 01-0210 | 39-5789 | Was the Intermediary's adjustment to remove nursing administration statistics from the ancillary cost centers on worksheet B-1 proper? |
| 2005D07 | 00-0374 | 52-5478 | Was the Intermediary correct in determining that Provider's request for an exception to the Skilled Nursing Facility (SNF) Routine Cost Limit was untimely filed? |
| 2004D36 | 00-0386 | 39-0088 | Was the Intermediary's denial of the Provider's loss on disposal of assets proper? |
| 2004D16 | 00-0411; 00-2594 | 45-0061 | Was the Intermediary's adjustment excluding observation bed days from the determination of the Provider's disproportionate share hospital adjustment proper? |
| 2002D12 | 00-0479 | 15-7425 | Was the Intermediary's adjustment reclassifying a portion of the Hospice Director's salary proper? |
| 2003D17 | 00-0544 | 05-0248 | Was the Intermediary's adjustment to the residents count and Graduate Medical Education payments proper? |
| 2006D18 | 00-0548, 00-0609 | 49-7033 | Was the Intermediary's adjustment applying Medicare's Physical Therapy Compensation Guidelines to the Provider's employee physical therapists proper? |
| 2001D31 | 00-0573G | Various | 1. Was the Intermediary's reclassification of routine restorative therapy aide salaries from the physical therapy cost center to the SNF participating and non-participating cost centers proper?; 2. Was the Intermediary's reclassification of the salary used for the employee health and welfare worksheet B-l overhead allocation basis proper? |
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