The new Provider Reimbursement Review Board rules outlining the requisite procedures to file and pursue appeals requires great diligence by Providers. Failure to understand and follow these steps could have significant financial impacts.
Price Fass and Co, LLC assists hospitals with developing strategies for compiling their lists of Protested Items which is often the first step in protecting appeal rights. Once a Provider receives its cost report settlement determination we will:
- Identify and quantify the viable appeal issues
- File the necessary requests and position papers
- Advise when legal representation is required
- Evaluate best avenues to obtain settlement, such as mediation