Grasping recent changes to the PRRB appeal process.
The amended PRRB rules will significantly change the way providers prepare for and prosecute appeals to the board. All providers and chain organizations should take stock of their longstanding as well as upcoming appeal issues to preserve their rights to pursue proper Medicare reimbursement. The rules' emphasis on front-end work by providers could require significant process changes for organizations.
Keough
Christopher L
CL
King & Spalding, LLP, Washington, DC, USA. ckeough@kslaw.com
Webster
Stephanie A
SA
Richards
J Harold
JH
D014487:Centers for Medicare and Medicaid Services, U.S.; D005377:Financial Management, Hospital; D006077:Government Agencies; D007349:Insurance, Health, Reimbursement; D017008:Negotiating / Q000379:methods*; D014481:United States