The PRRB lives on as an appeal mechanism for healthcare providers
Owens, A.P.
Healthcare Financial Management Journal of the Healthcare Financial Management Association 40(8): 36-37; 40
1986
ISSN/ISBN: 0735-0732 PMID: 10300898 Document Number: 276603
Despite popular belief, the PRRB is still an important means of appeal for healthcare providers--especially hospitals, nursing homes, and home care agencies. The PRRB, a result of the 1972 Medicare amendments, was originally created as an appeals route for providers under cost-based reimbursement. Although new approaches for payment of healthcare services are being developed, none related to cost-based reimbursement, inpatient hospital costs is still the only category where the payment mechanism has been changed. Hence, the PRRB can still be an important avenue of appeal.