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.
1998D011 | 95-0380 | 52-6514 | Was the Intermediary's modification of cost reporting form 2088-79 for the calculation of reimbursable cost proper? |
1998D012 | 86-0429 | 05-0289 | Was the Intermediary';s denial of the full TEFRA incentive payment to the Provider proper? |
1998D013 | 96-2058 | 10-5883 | Is the Provider exempt from the skilled nursing facility ("SNF") routine cost limits as a "new provider"? |
1998D014 | 92-0430 | 10-5201 | Was the Health Care Financing Administration's (HCFA) denial of the Provider's exception request proper? |
1998D015 | 91-2414M | 24-0053 | Was the Intermediary's denial of the reclassification of the accrued surgery residency costs from the operating room cost center to the interns and residents cost center in calculating the Provider's base year graduate medical education costs proper? |
1998D016 | 85-1109 | 39-0079 | Were the Intermediary's adjustments to the Provider's interest expense to account for the hospital's 1983 advance refunding of debt proper? |
1998D017 | 89-0303 | 39-0079 | Were the Intermediary's adjustments to the Provider's interest expense to account for the hospital's 1983 advance refunding of debt proper? |
1998D018 | 93-1769 | 05-5632 | Was the Intermediary's classification of the salaries of restorative nursing aides from the physical therapy cost center to the routine cost area proper? |
1998D019 | 91-2800M | 05-0239 | 1. Was the retroactive audit of Graduate Medical Education (GME) costs proper?; 2. Was the Intermediary's determination classifying malpractice insurance costs as administrative and general costs rather than direct GME costs proper? |
1998D020 | 91-2842M | 05-0103 | 1. Was the retroactive audit of Graduate Medical Education (GME) costs proper?; 2. Was the Intermediary's determination classifying malpractice insurance costs as administrative and general costs rather than direct GME costs proper? |