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.
| 1998D021 | 89-2023 | 05-0179 | Was the Intermediary's adjustment to the amortization of the loss on the sale of Turlock Community Hospital proper? |
| 1998D022 | 93-1156 | 38-0018 | Was the Provider's request to reopen the calculation of the disproportionate share adjustment to exclude employee self-insured days proper? |
| 1998D023 | 95-1661 | 06-6549 | Does the Provider Reimbursement Review Board have jurisdiction over Provider extension locations that are not surveyed for purposes of certification? |
| 1998D024 | 92-0662 | 47-4001 | Did the Health Care Financing Administration (HCFA) correctly conclude that the Provider';s requests for adjustment to its Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) limits were not timely filed and were therefore improper? |
| 1998D025 | 95-0308 | 05-0235 | Was the Intermediary';s denial of the Provider';s Routine Cost Limit exception proper? |
| 1998D026 | 91-2673M | 39-0028 | 1. Were the GME regulations at 42 CFR Section 413.86 valid?; 2. Were the HCFA GME Program Instructions (GME-PI) implementing the reaudit provisions of 42 CFR Section 413.86 valid?; 3. Was the Intermediary';s adjustment reclassifying the GME costs for the Medical Library (ML) and Department of Continuing Education (DCE) to Administrative and General (A&G) proper?; 4. Was the Intermediary';s adjustment reclassifying a portion of the teaching physicians salaries from GME to A&G proper?; 5. Was the Intermediary';s adjustment reclassifying costs for the salaries and expenses related to GME support personnel from GME to A&G costs proper?; 6. Do the Intermediary';s adjustments no. 3 and 6 violate the consistantcy rule stated in 42 CFR Section 412.113(b)(3) (1989)?; 7. Was the Intermediary';s adjustment revising the number of FTE residents used in determining the Provider Average Per Resident amount proper?; 8. Was the Intermediary';s failure to include the costs associated with the Provider';s Anesthesiology and Radiology GME programs in the GME base year proper?; 9. Should the GME clinic costs, mistakenly classified as operating costs in the base year, be included when calculating the APRA?; 10. Should the GME laboratory costs, mistakenly classified as operating costs in the base year, be included when calculating the APRA? |
| 1998D027 | 95-1188 | 05-0235 | Was the Intermediary's denial of the Provider's Routine Cost Limit exception proper? |
| 1998D028 | 87-0480E | 33-0085 | Was the Intermediary's denial of the Provider's request for rural referral center status for the fiscal year ended December 3, 1986 proper? |
| 1998D029 | 89-1782 | 33-0041 | Were the Intermediary's adjustments reclassifying the lease rental costs reported as capital costs proper? |
| 1998D030 | 90-2029 | 05-0388 | Was the Intermediary's adjustment disallowing the costs associated with the repossessed equipment proper? |
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