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Provider Reimbursement Review Board Medicare Administrative Contractors (MAC)

King & Spalding

CMS Acquiesces to Banner Self-Disallowance Decision

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On April 23, 2018, CMS released CMS-1727-R (the Ruling), which announced that it will follow the United States District Court’s decision in Banner Heart Hospital v. Burwell, 201 F. Supp. 3d 131 (D.D.C. 2016). The Banner...more

King & Spalding

PRRB Releases New Reinstatement Rules

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Effective July 1, 2015, the Provider Reimbursement Review Board (PRRB or Board) has promulgated new rules regarding the reinstatement and withdrawal of appeals before the Board. The most significant change is a new rule...more

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