Follow the Rules for Protested Amounts on Your Cost Reports or Lose Your Right to Appeal


For cost reporting periods ending on or after December 31, 2008, the new

regulations governing appeals before the Provider Reimbursement Review

Board (PRRB) require that, in order to appeal an issue to the PRRB, a provider

either (1) expressly claim a cost as an allowable cost on its cost report or (2) if

CMS policy indicates the cost is not allowable, include the cost on the cost

report as a protested amount. 42 C.F.R. § 405.1835(a)(1)(ii). The new PRRB

rules also state that for cost reporting periods ending on or after December 31,

2008, a provider must demonstrate how it followed the applicable procedures. Leslie Demaree Goldsmith of Ober|Kaler discusses.

LOADING PDF: If there are any problems, click here to download the file.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Ober|Kaler | Attorney Advertising

Written by:


Ober|Kaler on:

JD Supra Readers' Choice 2016 Awards
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.