Academic journal article Health Care Financing Review

Administrator's Decisions

Academic journal article Health Care Financing Review

Administrator's Decisions

Article excerpt

Under Section 1878(f) of the Social Security Act, as amended, a Provider Reimbursement Review Board (PRRB) decision is final unless the Secretary of Health and Human Services, on his own motion, and within 60 days after the provider is notified of the Board's decision, reverses, affirms, or modifies the Board's decision. The review function has been delegated to the Administrator/Deputy Administrator of the Centers for Medicare & Medicaid Services (CMS). The two indexes are lists of the Administrator's decisions rendered on review of PRRB decision, and PRRB decisions the Administrator elected not to review. These indexes are in numeric order by PRRB decision number They also state the name of the provider, issues involved, and date of the Administrator's decision.

Numeric Index of Administrator's Final Decisions Rendered on Review of PRRB Decisions--July 1, 2005 through September 30, 2005

2005-D37 VNA Healthcare, Inc.--Reasonable compensation equivalency guidelines (07/08/2005)

2005-D38 Select Specialty Hospital- Houston Heights--Continuous improvement bonus (07/11/2005)

2005-D39 Arthur G. James Cancer Hospital--Interest paid to Ohio State University Hospitals (07/11/2005)

2005-D47 Alhambra Hospital--DSH calculation (09/30/2005)

Numeric Index of AdmInistrator's Election Not to Review PRRB Decisions--July 1, 2005 through September 30, 2005

2005-D43 Pleasant Care 97/98 Payroll Tax Cost Group--FICA tax expenses (08/02/2005)

2005-D45 UMass Memorial Medical Center--ESRD (08/03/2005)

2005-D46 Evergreen Hospital Medical Center and SNF--New provider exemption (09/16/2005)

2005-D48 Long Beach Memorial Hospital-Reasonable compensation equivalent (09/06/2005)

2005-D54 Nix Health Care System--Reimbursement as a new provider (09/21/2005)

2005-D55 Muhlenberg Hospital Center--Loss on sale (09/20/2005)

Numeric Index of Administrators Decision to Vacate the PRRB Decision--July 1, 2005 through September 30, 2005

2005-D41 St. …

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