The Provider Reimbursement Review Board
2520 Lord Baltimore Drive, suite L
Baltimore, MD 21244-2670
The Provider Reimbursement Review Board is an independent panel to which a certified Medicare provider of services may appeal if it is dissatisfied with a final determination of its fiscal intermediary or the Centers for Medicaid and Medicare Services ("CMS," formerly the Health Care Financing Administration). A decision of the Board may be affirmed, modified, reversed or vacated and remanded by the CMS Administrator within 60 days of notification to the provider of that decision.
Proposed Regulations Covering Provider Reimbursement Determinations and Appeals
The June 25, 2004 Federal Register sets forth the proposed changes to the regulations governing appeals before the Provider Reimbursement Review Board. Instructions for those wishing to comment are included in the regulations.
Proposed Regulations (.pdf, 319 KB)
Current Instructions for the Provider Reimbursement Review Board
The Provider Reimbursement Review Board's Instructions for providers and intermediaries are effective on March 1, 2002. These Instructions supercede those previously issued on May 5, 2000.
P.R.R.B.Instructions (.pdf, 110 KB) [Issued March 1, 2002] [Note: A clerical correction was made to Part I-B.I.a.2. on March 25, 2002]
These instructions are only available in Adobe PDF format.
Supplemental Instructions for ESRD Appeals
A set of supplemental instructions which set forth hearing procedures for ESRD appeals.
Supplemental Instructions for ESRD Appeals(.pdf, 8 KB) [Issued March 15, 2001]
These instructions are only available in Adobe PDF format.
Supplemental Instructions for Appeals of Children's Hospital Graduate Medical Education (CHGME)
A set of supplemental instructions which set forth hearing procedures for Appeals of Children's Hospital Graduate Medical Education (CHGME).
Supplemental Instructions for CHGME Appeals(.pdf, 64 KB) [Issued May 03, 2004]
These instructions are only available in Adobe PDF format.
P.R.R.B. Decisions
- 1998 Decisions of the P.R.R.B.
- 1999 Decisions of the P.R.R.B.
- 2000 Decisions of the P.R.R.B.
- 2001 Decisions of the P.R.R.B.
- 2002 Decisions of the P.R.R.B.
- 2003 Decisions of the P.R.R.B.
- 2004 Decisions of the P.R.R.B.
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