Final Part A Reimbursement Appeal Regulations Expected Soon


On June 25, 2004, CMS issued proposed changes to the regulations governing appeals of reimbursement determinations to the Provider Reimbursement Review Board and intermediaries. In June of 2006, the time

period for adopting final rules would have expired, except that the agency extended the period. We have recently been advised that on February 8 of this year, the agency submitted a draft of the final rules to the Office of

Management and Budget (OMB) for its review. This submission starts the 90-day period permitted for OMB review, although it is entirely possible that OMB may not use the full 90 days.

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