Under the Medicare statute and implementing regulation, providers have 180 days from the issuance of a Notice of Program Reimbursement (NPR) in which to file an appeal to the Provider Reimbursement Review Board (PRRB). This...more
2/7/2013 - Appeals Equitable Tolling Medicare NPR Provider Reimbursement Review Board
In recent times, the provider community has enjoyed success in challenging the Secretary’s interpretation of the Medicare disproportionate share hospital (DSH) adjustment provisions and what, the providers have maintained,...more
1/25/2013 - Appeals Disproportionate Share Adjustments Hospitals Medicare Retroactive Application
In a 2011 decision, Northeast Hospital Corp. v. Sebelius, 657 F. 3d 1 (D.C. Cir. 2011), the United States Court of Appeals for the District of Columbia Circuit ruled for the providers in a challenge to the Secretary’s...more
12/13/2012 - Appeals Disproportionate Share Adjustments Medicare
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