Tuesday, September 11, 2018

The Provider Reimbursement Review Board Issues Updated Rules

Lilly Hummel

The Provider Reimbursement Review Board (PRRB)  issued updated Rules effective immediately. The PRRB has jurisdiction over Medicare Part A claims where the individual appeal request has a total amount in controversy of at least $10,000 at the time of the filing. The PRRB is also moving to an electronic filing system to improve efficiency. The Centers for Medicare and Medicaid Services has also released a User Manual to help providers transition to electronic filing.

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