The PRRB and the other Medicare administrative appeals tribunal lack jurisdiction over provider appeals of
any of three issues (described below) regarding the calculation of the Medicare disproportionate share hospital (DSH) payment
1 Appeals of the Data Matching Process Used in Calculating the SSI Fraction
2 Appeals of the Exclusion from the DPP of Non-Covered Inpatient Hospital Days for Patients Entitled to Medicare Part A, and Days for Which the Patient's Part A Inpatient Hospital Benefits were Exhausted
3 Appeals of the Exclusion from the DPP of Labor/Delivery Room Inpatient Days
In order to resolve in an orderly manner pending administrative appeals of any of the three DSH issues for qualifying patient discharge dates and cost reporting periods (as described above in Sections 1, 2, and 3 of this Ruling) that have been rendered moot by the Ruling, the administrative appeals tribunals will use one of two procedures to begin the overall process of implementing the Ruling.