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HHS/CMS RIN: 0938-AL54 Publication ID: Fall 2003 
Title: Provider Reimbursement Determinations and Appeals (CMS-1727-P) 
Abstract: This proposed rule would redefine, clarify, and update the guidelines and procedures for Provider Reimbursement Review Board appeals, based on recent court decisions. 
Agency: Department of Health and Human Services(HHS)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 405   
Legal Authority: Sec 1878 of the Social Security Act   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  09/00/2004    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
Agency Contact:
Morton Marcus
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mailstop C4-25-02, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4477
Email: morton.marcus@cms.hhs.gov