Cost Report Appeals

Published 10/07/2021

Palmetto GBA was awarded the Jurisdiction J contract, which includes providing cost report appeal services for the Jurisdiction J, effective January 29, 2018. The transition of this workload included new and existing cost report appeals for both Part A and Independent Organ Procurement Organizations.

The mailing addresses and email addresses for filing and submitting cost report appeal information are included below.

For MAC Appeals
For Provider Reimbursement Review Board (PRRB) Appeals
Amount in controversy:
$1,000 — $9,999
 
All OPO appeals are considered MAC appeals regardless of the amount in controversy.
Amount in controversy:
$10,000 or more ($50,000 or more, in aggregate, for group appeal)

Send request to:
intermediary@fssappeals.com 
Copy: Paul.Crofton@fedspecserv.com

If filing documents electronically is not an option for the provider, use the address below.

U.S. Mail or Courier Service

PRRB Appeals
Federal Specialized Services
1701 S. Racine Avenue
Chicago, IL 60608-4058

 

**Effective November 1, 2021 — All PRRB appeals are to be filed electronically via OH CDMS, unless an exemption applies. See Alert 21 and 22 at the PRRB Review Current Alert Web page**

Send request to:

U.S. Mail or Courier Service

Provider Reimbursement Review Board
CMS Office of Hearings
7500 Security Boulevard
Mail Stop: B1-01-31
Baltimore, MD 21244

and

prrb@fssappeals.com 

If filing documents electronically is not an option for the provider, use the address below.

U.S. Mail or Courier Service

PRRB Appeals
Federal Specialized Services
1701 S. Racine Avenue
Chicago, IL 60608-4058

Copy:
Preferred method for delivery

Via email to:
JJAUDIT.APPEAL@PALMETTOGBA.COM

If you are unable to send electronically, send unbound correspondence to:

Provider Cost Report Appeals
Attn: Cecile Huggins
Internal Mail Code: AG-380
Palmetto GBA
P.O. Box 100307
Columbia, SC 29202-3307

For courier service:

Provider Cost Report Appeals
Attn: Cecile Huggins
Internal Mail Code: AG-380
Palmetto GBA
2300 Springdale Drive, Bldg. One
Camden, SC 29020-1728

Copy:
Preferred method for delivery

Via email to:
JJAUDIT.APPEAL@PALMETTOGBA.COM

If you are unable to send electronically, send unbound correspondence to:

Provider Cost Report Appeals
Attn: Cecile Huggins
Internal Mail Code: AG-380
Palmetto GBA
P.O. Box 100307
Columbia, SC 29202-3307

For courier service:

Provider Cost Report Appeals
Attn: Cecile Huggins
Internal Mail Code: AG-380
Palmetto GBA
2300 Springdale Drive, Bldg. One
Camden, SC 29020-1728

Information and procedures for filing PRRB appeals are available on the PRRB website. Information and procedures for filing a MAC appeal is available in Part I of the Provider Reimbursement Manual, Chapter 29 (PRM-1).