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.
| 2001D34 | 95-1001G | 01-0055, 01-7013, 01-7020, 01-7048, 01-7072 | 1. Was the Intermediary's adjustment to the Provider's allowable costs based on the recapture of depreciation proper?; 2. Does the Intermediary's recapture of depreciation due to a gain on the sale of depreciable assets affect the Provider's calculation of equity capital for prior use? |
| 2000D43 | 96-0527 | 01-0068 | Was the Intermediary's adjustment disallowing portions of compensation paid to physicians based on the application of the 1984 reasonable compensation equivalents ("";RCE"";) proper? |
| 2000D66 | 92-0209; 94-2362; 98-0428; 99-0130; 99-0131 | 01-0068 | Was the Intermediary's adjustment disallowing portions of compensation paid to physicians based on the application of the 1984 reasonable compensation equivalents proper? |
| 2001D40 | 97-0843 | 01-0079 | Was the Intermediary's disallowance of the Provider's Medicare Part B bad debts for deductibles and coinsurance proper? |
| 1999D51 | 94-0198 | 01-0079 | Was the Intermediary's attempt to recover Disproportionate Share Hospital (DSH) payments from the Provider for FYs 89 and 90 proper? |
| 2006D44 | 04-0643 | 01-0092 | Whether the Fiscal Intermediary/Centers for Medicare and Medicaid Services' (FI/CMS) denial of the request to include additional pension costs as wage-related costs for purposes of the Provider's FY 2004 wage index was proper. |
| 1999D47 | 95-0931 | 01-0139 | Was the Provider's request for an exception to its TEFRA target rate proper? |
| 2001D38 | 98-2619 | 01-5049 | 1. Was the Health Care Financing Administration's ("HCFA's") methodology as set forth in Transmittal No. 378 for determining the amount of the exception from the routine cost limits ("RCLs") for hospital-based skilled nursing facilities ("HB-SNFs") and as applied by the Intermediary to the Provider for fiscal year ended ("FYE") December 31, 1995, a proper interpretation of the Medicare statute and regulations?; 2. Did the Intermediary properly deny the Provider a rollover interim exception for FYE December 31, 1995? |
| 1999D61 | 97-2340 | 01-5049 | 1. Was HCFA's methodology as set forth in Transmittal 378 for determining the amount of the exception from the routine cost limits for hospital-based skilled nursing facilities, and as applied by the Intermediary to the Provider for FYE December 31, 1994, a proper interpretation of the Medicare statute and regulations?; 2. Did the Intermediary properly deny the Provider a rollover interim exception for FYE December 31, 1994? |
| 2002D31 | 97-0135 | 01-5426 | Was the Centers for Medicare & Medicaid Services' (Formerly the Health Care Financing Administration) denial of a new provider exemption proper? |
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