The Law Review Q&A: How to Guard Against the Steady Erosion of Your Medicare Appeal Rights - The Advisory Board Company Daily Briefing 

    18 January 2013
    Ever since the Medicare Program was enacted in 1965, Congress has permitted hospitals to appeal payment determinations with which they are dissatisfied. This waiver of sovereign immunity is statutory and has always provided hospitals with the right to appeal adverse payment determinations to the Provider Reimbursement Review Board (PRRB) and ultimately, if still dissatisfied, to the federal courts.