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-October 1, 2004 through December 31, 2004

2004-D32 St. Joseph's Hospital-DSH payment (10/13/2004)

2004-D34 Berks Visiting Nurse Association-Physical therapists compensation (10/04/2004)

2004-D36 Germantown Hospital and Medical Center-Loss on disposal of assets (10/28/2004)

2004-D37 Clark Regional Medical Center-DSH (10/27/2004)

2004-D38 Saint Clare's Hospital-Dover-Loss on consolidation (11/12/2004)

2004-D40 Battle Creek Health System and Mercy General-TEFRA; Bad debts (11/12/2004)

2004-D43 Ochsner Clinic-New Orleans Renal Dialysis Facility and Houma/Bayou Renal Dialysis Facility-Bad debts ESRD (11/17/2004)

2004-D44 Wayne County General Hospital-Allocation of retirement benefits for terminating provider (11/24/2004)

Numeric Index of Administrator's Election Not to Review PRRB Decisions-October 1, 2004 through December 31, 2004

2004-D33 Genesis 96, 97 Proper Cost Category Group and Genesis 98 Payroll Tax/Workers Compensation Cost Group-Allocating FICA taxes (10/01/2004)

2004-D35 Harborside Hospital-Indianapolis-New provider (10/18/2004)

2004-D39 Angeles Home Health Care, Inc. …

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