Under Section 1878 of the Social Security Act and the regulations at 42 CFR 405.1875, the Administrator of the Centers for Medicare & Medicaid Services has the authority to review decisions rendered by the Provider Reimbursement Review Board and to issue final Agency decisions for the Secretary of the Department of Health and Human Services. This site provides access to Administrative Review Decisions beginning in 2003.
| 2003-D31 | 2003-D31 | University Hospital
Cincinnati, OH
Provider
vs.
AdminaStar Federal, Inc.
Intermediary | Cost Reporting Period Ended June 30, 1994, 1995 and 1996 |
| 2003-D32 | 2003-D32 | Texacare, Inc.
Duncanville, TX
Provider
vs.
Palmetto Government Benefit Administrators/Blue Cross Blue Shield Association
Intermediary | Cost Reporting Period Ended September 30, 1995 |
| 2003-D33 | 2003-D33 | Cardinal Hill Rehabilitation Hospital
Lexington, Kentucky
Provider
vs.
Blue Cross Blue Shield Association/AdminaStar Federal
Intermediary | Cost Reporting Periods Ended
December 31, 1997
December 31, 1998 |
| 2003-D34 | 2003-D34 | AHS 96 Related Organization Costs Group, Provider, vs. Blue Cross Blue Shield Association/Riverbend Government Benefits Administrator, Intermediary | Provider Cost Reimbursement Determination for Cost Reporting Period Ending: 04/30/96 |
| 2003-D35 | 2003-D35 | Meridian Hospitals Corporation - Group Appeal
Provider
vs.
Blue Cross Blue Shield Association/Riverbend Government Benefits Administrator (formerly Blue Cross Blue Shield of New Jersey/Horizon Blue Cross Blue Shield of New Jersey)
Intermediary | Cost Reporting Period Ended December 31, 1996 |
| 2003-D36 | 2003-D36 | Castle Medical Center
Kailua, Hawaii
Provider
vs.
Blue Cross Blue Shield Association/United Government Services, LLC-CA
Intermediary | Cost Reporting Period Ended December 31, 1994 |
| 2003-D37 | 2003-D37 | New Hanover Regional Medical Center & Psychiatric Unit
Wilmington, North Carolina
Provider
vs.
Blue Cross and Blue Shield Association/Blue Cross and Blue Shield of North Carolina
Intermediary | Cost Reporting Period Ended September 30, 1991 |
| 2003-D38 | 2003-D38 | Starke Memorial Hospital
Knox, Indiana
Provider
vs.
Blue Cross Blue Shield Association/AdminaStar Federal
Intermediary | Cost Reporting Period Ended
March 31, 1998 |
| 2003-D39 | 2003-D39 | Hemet Valley Convalescent Hospital
Hemet, California
Provider
vs.
United Government Services,
LLC-CA/Blue Cross Blue Shield Association
Intermediary | Cost Reporting Period Ended
December 31, 1994 |
| 2003-D40 | 2003-D40 | Citrus Health and Rehabilitation Center
Inverness, Florida
Provider
vs.
Mutual of Omaha Insurance Company
Intermediary | Cost Reporting Period Ended
May 31, 1996, 1997 and 1998 |