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.
1998D001 | 92-1498 | 14-0179 | 1. Was the Intermediary's necessity of borrowing determination with regard to the Provider's Illinois Health Facility Authority (IHFA) loan proper?; 2. Did the Intermediary properly include the Provider's neonatal unit beds and days in the indirect medical education (IME) and graduate medical education (GME) patient load calculation for the fiscal year ended June 30, 1989?; 3. Did the Intermediary properly allocate the Providers investment income consistent with the allocation of interest expense? |
1998D002 | 91-1163E; 92-0895 | 24-0036 | Was the Intermediary's adjustment excluding from capital-related costs the Provider's payments for the rental of a mobile magnetic resonance imaging ("MRI") unit proper? |
1998D003 | 91-0133 | 03-4001 | Is the Provider entitled to an adjustment to its TEFRA limits for malpractice insurance costs for FYEs June 30, 1986 and June 30, 1987? |
1998D004 | 91-1441 | 06-0015 | Was the Intermediary's adjustment reclassifying air ambulance lease rental payments from capital costs to operating expenses proper? |
1998D005 | 96-2054 | 45-7789 | Was the Intermediary's adjustment shifting nursing and home health aide costs to a privite duty nursing cost center proper? |
1998D006 | 93-0228 | 24-0053 | Did the Intermediary properly disallow the physician's Part A compensation? |
1998D007 | 94-3386 | 33-7243 | Was the Intermediary's adjustment reversing the direct assignment of the New York sub-unit costs proper? |
1998D008 | 91-2866M | 33-0214 | Were the Intermediary's adjustments to the graduate medical education ("GME") base year costs proper? |
1998D009 | 92-1679 | 39-0142 | Was the Intermediary';s application of the 1984 Reasonable Compensation Equivalent (RCE) limits proper? |
1998D010 | 93-1749 | 10-6639 | Was the Provider entitled to the lower of cost or charges (LCC) carryforward which was generated under the prior ownership? |