Search for: "Provider Reimbursement Review Board"
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8 Sep 2016, 7:01 am
On review, the Board cited Janocha, again stating there is no such thing as an uninsured self-insurer. [read post]
29 Feb 2004, 10:00 pm
To have the ability to benefit from the group appeal, by participating directly or otherwise, hospitals must individually file a timely appeal with the Provider Reimbursement Review Board (“PRRB”) for the affected cost reports (1999 and 2000). [read post]
29 Feb 2004, 10:00 pm
To have the ability to benefit from the group appeal, by participating directly or otherwise, hospitals must individually file a timely appeal with the Provider Reimbursement Review Board (“PRRB”) for the affected cost reports (1999 and 2000). [read post]
17 Nov 2016, 9:51 am
More Blog Posts: Massachusetts Reviewing Board Holds Self-Insurer Must Pay Improperly Withheld Sums to Employee After Reaching Negotiated Amount for Benefits in Agreement, Massachusetts Workers’ Compensation Lawyer Blog, September 29, 2016 Massachusetts Reviewing Board Applies Successive Insurance Rule, Finding Coverage for Employee’s Ongoing Work-Related Injuries, Massachusetts Workers’ Compensation Lawyer Blog,November 20, 2016 [read post]
15 Jun 2017, 10:08 am
Next, the Board assessed whether the judge should have ordered reimbursement for aqua therapy. [read post]
9 Jun 2016, 10:07 am
Additionally, the Reviewing Board held that the judge had improperly relied on testimony provided by a Hospital representative. [read post]
22 Oct 2021, 4:00 am
The Supreme Court agreed that the District's discontinuation of its reimbursements of IRMAA surcharges violated the Act, granted the Plaintiff's petition, and directed the District to reinstate providing the reimbursement, plus making appropriate retroactive reimbursements. [read post]
22 Oct 2021, 4:00 am
The Supreme Court agreed that the District's discontinuation of its reimbursements of IRMAA surcharges violated the Act, granted the Plaintiff's petition, and directed the District to reinstate providing the reimbursement, plus making appropriate retroactive reimbursements. [read post]
28 Sep 2018, 5:36 am
The Provider Reimbursement Review Board (“PRRB”) is an independent panel that a Part A provider can appeal to if it is not satisfied with any final determination. [read post]
16 Jun 2022, 9:05 pm
Supreme Court unanimously held that the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 does not preclude judicial review of annual reimbursement rates for outpatient drugs. [read post]
8 Mar 2019, 11:56 am
The court stated that the board’s decision failed to articulate clearly the legal basis for its decision or to provide an adequate explanation for its conclusion that the insurance carrier “is not able to provide medical marijuana” because possession of the drug “is still a federal crime. [read post]
29 Jul 2014, 6:34 am
In addition, the board did not properly authorize all tuition reimbursements paid to the director. [read post]
12 Apr 2023, 9:01 am
If treatment had been provided, the claims administrator will be required to reimburse the doctor or medical provider for the services within 20 days. [read post]
24 Sep 2013, 6:02 pm
Employers using health reimbursement arrangements (HRAs), health flexible spending plans (HFSAs) or other employer payment plan arrangements under which the employer provides a fixed defined contribution from the employer to employees to use to purchase individual or group health insurance should have those arrangements reviewed for compliance with the Patient Protection & Affordable Care Act (ACA) annual limit and preventive care rules as interpreted by the… [read post]
31 Dec 2012, 6:29 am
The issue is whether a 180-day statutory time limit for filing an appeal with the Provider Reimbursement Review Board from a final Medicare payment determination is subject to equitable tolling; meaning that a court has power to delay the running of the time limit in the interests of fairness. [read post]
8 Jun 2017, 7:11 am
In a recent case before the Massachusetts Department of Industrial Accidents, Review Board, the issue was whether the “going and coming” rule applied, such that an injured employee was barred from receiving compensation. [read post]
26 May 2022, 4:00 am
Here, it is undisputed both that the CBAs between the district and the CCT did not address Part B or IRMAA reimbursements and that the district in fact provided such reimbursements, even if, as it claims, the reimbursements were made inconsistently. [read post]
26 May 2022, 4:00 am
Here, it is undisputed both that the CBAs between the district and the CCT did not address Part B or IRMAA reimbursements and that the district in fact provided such reimbursements, even if, as it claims, the reimbursements were made inconsistently. [read post]
21 Feb 2023, 4:30 am
" The Department's subsequent application "for reconsideration and/or full Board review was denied" and it appealed this ruling by the WCB. [read post]
21 Feb 2023, 4:30 am
" The Department's subsequent application "for reconsideration and/or full Board review was denied" and it appealed this ruling by the WCB. [read post]
