Medicare program; administrator's review of Provider Reimbursement Review Board decisions-HCFA. Final rule.
These regulations set forth several changes in the procedures relating to the Administrator's review of Provider Reimbursement Review Board (the Board) decisions. These regulations: (1) Specify procedures and criteria for the Administrator's review of Board decisions: (2) authorize the Administrator to remand cases to the Board: (3) specify that the Administrator may review a Board's decision concerning jurisdiction to hear a case; and (4) clarify the time period available to a provider seeking judicial review if the Administrator declines to review a Board decision. The purpose of this final rule is to inform providers of criteria used by the Administrator in reviewing decisions and to clarify procedures and policies that have been identified through experience as subject to differing interpretations.
D014487:Centers for Medicare and Medicaid Services, U.S.; D006278:Medicare / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence*; D014481:United States