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.
1998D031 | 91-2986M | 33-0153 | Were the Intermediary's adjustments made foe graduate medical education (GME) settlement purposes proper? |
1998D032 | 95-0495 | 39-0181 | Was the Intermediary's adjustment disallowing the Provider's claimed loss on disposal proper? |
1998D033 | 95-2125 | 53-7025 | Did the Intermediary properly disallow a portion of the owner's compensation? |
1998D034 | 97-1914 | 11-6670 | 1. Did the Intermediary properly adjust Medicare charges?; 2. Did the Intermediary properly adjust Medicare deductables, co-insurance and payments?; 3. Did the Intermediary properly adjust physical therapy salary equivalency limits?; 4. Was the Intermediary's adjustment to legal and accounting costs and other offset items proper?; 5. Was the Intermediary's adjustment to other self-disallowed costs proper? |
1998D035 | 93-2004 | 10-0114 | Does the recapture of depreciation due to the gain on the sale of depreciable assets have any effect on the Provider's equity capital for prior years? |
1998D036 | 93-0337 | 05-0034 | Was the Provider's request for an adjustment to the TEFRA target amount for the 1989 fiscal year filed on a timely basis? |
1998D037 | 93-0145 | 52-0091 | Was the Intermediary's denial of sole community status under 42 C.F.R. Section 412.92 proper? |
1998D038 | 95-2447 | 17-7215 | 1. Was the Intermediary's adjustment to the administrative and general seminar costs proper?; 2. Was the Intermediary's adjustments disallowing health education compensation and nursing compensation proper? |
1998D039 | 97-0111G; 97-0112G | Various | Were the Intermediary's adjustments to occupational therapy and speech therapy costs proper? |
1998D040 | 96-2419 | 52-5569 | Should the Provider be granted a "";new Provider""; exemption from the routine cost limits in accordance with 42 C.F.R. Section 413.30(e)? |