The PRRB lives on as an appeal mechanism for healthcare providers.
Despite popular belief, the PRRB is still an important means of appeal for healthcare providers--especially hospitals, nursing homes, and home care agencies. The PRRB, a result of the 1972 Medicare amendments, was originally created as an appeals route for providers under cost-based reimbursement. Although new approaches for payment of healthcare services are being developed, none related to cost-based reimbursement, inpatient hospital costs is still the only category where the payment mechanism has been changed. Hence, the PRRB can still be an important avenue of appeal.
D005376:Financial Management; D005377:Financial Management, Hospital; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D014481:United States