Pennsylvania Code (Last Updated: April 5, 2016) |
Title 55. PUBLIC WELFARE |
PART III. Medical Assistance Manual |
Chapter 1126. Ambulatory Surgical Center Services and Hospital Short Procedure Unit Services |
Section 1126.91. Provider right of appeal
Latest version.
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(a) The hospitals right of appeal is under Chapter 1101 (relating to general provisions).
(b) ASCs/SPUs and practitioners do not have the right to a separate appeal on the same case.
(c) For cases undergoing the appeal process, payment, including adjustments, will be withheld until the case is adjudicated.