PRRB Audit Issues.PPT

WORKSHOP ON PRRB APPEALSPresented by Foley & Lardner LLPin association with the ith the American Osteopathic AssociationJanuary 12, 2006Foley & Lardner LLP 1Today’s PresentersChris Rossman Pat LePineChris Rossman Pat Detroit DetroitFoley & Lardner LLP 21ƒƒƒƒƒƒƒƒƒƒHousekeepingClick the arrows next to Participants, Chat and Q&A on the right side of your screen to maximize (or minimize) the sectionsWe’ll take questions throughout the program via Q &A and live questions at the end of the program. To reach the operator, dial *1the operator, dial *1Need assistance?– Technology: call 866-779-3239 and choose option #4– Audio: dial *0Today’s program is being recorded and will be available on Foley’s Web sitesiteFoley & Lardner LLP 3Procedural IssuesFiling PRRB Appeals from NPR a. 42 U.S.C. § 1395oo(a)(3) requires that a provider “file a request for hearing within 180 days after notice of the iinntertermmediediararyy’’s fs fiinalnal detdeterermiminatinatioonn..””b. Under current regulations and rules, an appeal may be thtimely filed if placed in the mail no later than the 180 day.c. A proposed rule would calculate time periods based on dates of receipt (i.e., the appeal would be timely only if ththreceived by the PRRB on or before 180 day). Foley & Lardner LLP 42ƒƒƒƒProcedural Issues (Cont’d)Adding Issues to an Original Hearing Requesta. Under current regulations, a provider may add new issues to an ...