HR 3153 · 97th Congress · Health

Provider Payment Review Board Act

Introduced 1981-04-08· Sponsored by Rep. Heftel, Cecil [D-HI-1]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to Subcommittee on Health.(1981-04-20)

Plain Language Summary

[AI summary unavailable — showing source text] Provider Payment Review Board Act - Amends title XVIII (Medicare) of the Social Security Act to replace the Provider Reimbursement Review Board with the Provider Payment Review Board. Sets forth the composition of the Provider Payment Review Board. Permits the Board to establish its own divisions, to determine the character of cases to be heard initially by the Board or its divisions, and to review any decision rendered by one of its divisions. Permits a provider of Medicare services to obtain a hearing before the Board when the provider is dissatisfied with a refusal of its fiscal intermediary to reopen or revise its reimbursement decision. Adds to the requirements for appeals by groups of providers a requirement that the amount in controversy must be $50,000 or more for all cost reporting periods in dispute. Sets forth the rules regarding the parties to a hearing of the Board. Grants the right to obtain judicial review of a Board decision to any parties to the hearing other than the fiscal intermediary. Makes the final decision of the Board binding on all parties to the hearing for the cost reporting periods covered by the decision. Makes such decision binding on the Secretary of…

Summarized by Claude AI · Non-partisan · For informational purposes only