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HHS/CMS RIN: 0938-AL54 Publication ID: Fall 2007 
Title: Provider Reimbursement Determinations and Appeals (CMS-1727-F) 
Abstract: This final rule redefines, clarifies, and updates 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: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 405, 413, and 417     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: sec 1878 of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902  06/25/2008 
Timetable:
Action Date FR Cite
NPRM  06/25/2004  69 FR 35716   
NPRM Comment Period End  08/24/2004    
Final Action  06/00/2008    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: 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