Numeric Index of Administrator's Final Decisions Rendered on Review of PRRB
DecisionsmFebruary 1, 2006 through April 21, 2006 2006-D9 Washington County Memorial Hospital--Additional payment due--decrease in discharges (02/24/2006) 2006-D10 Highland Medical Centerm DSH (02/24/2006) 2006-D14 Harborside Healthcare-Reservoir--New provider exemption (03/27/2006) 2006-D16 Dameron Hospital--Bad debts (04/17/2006) 2006-D19 Western Arizona Regional Medical Center--DSH (04/20/2006) Numeric Index of Administrator's Election Not to Review PRRB
Decisions--February 1, 2006 through April 21, 2006 2006-D7 Chicago 98-00 MSA Wage Index Group~Correcting wage data (02/15/2006) 2006-D8 Preferred Management Corporation Group--Reallocating key employee and owner bonuses (02/21/2006) 2006-D11 St.
Numeric Index of Administrators Remand of PRRB
Decision--July 1, 2005 through September 30, 2005
2) Although "Net Income - As Adjusted" is a non-GAAP financial measure, management believes that the presentation of net income as calculated using a normalized tax rate, which excludes the nonrecurring tax benefit as described in Note 3, and excluding the PRRB
settlement and the estimated Medicare repayment as described in Note 1, as well as the second quarter 2004 gain on the sale of Gentiva's investment in a Canadian homecare company as described in Note 4, is a useful adjunct to "Net Income - As Reported" under GAAP because it measures the Company's performance in a consistent manner between the results for the third quarter and first nine months of fiscal years 2005 and 2004.
Numeric Index of Administrator's Remands of PRRB
Decision--May 1, 1999 through August 31, 1999
The independent decision making of the PRRB is supported administratively by the Health Care Financing Administration (HCFA).
The PRRB is the initial finder of fact in the administrative appeals process and is responsible for developing a complete record of the case.
Congress created the PRRB to furnish providers with an independent forum for resolving payment disputes arising from final determinations (42 U.
The PRRB is supported by a staff of 30 HCFA employees, consisting of accountants, lawyers, paralegal specialists, and clerical support personnel.
HCFA's Office of Hearings (proposed organizational name) provides administrative and staff support to the PRRB, the Medicare Geographic Classification Review Board (MGCRB), and various other hearing and appeal functions (e.
During the latter part of the last FY, a new Chairman was appointed to the PRRB and a new Executive Director was charged with leading the staff.
The Administrator of HHS' Health Care Financing Administration has decided to review this opinion and has 60 days from the date of the PRRB
ruling to uphold or reverse the decision.
ruled that approximately 53% of the $1,700,000 of community liaison costs subject to review as part of this hearing are reimbursable to the Company.