Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1126 - AMBULATORY SURGICAL CENTER SERVICES AND HOSPITAL SHORT PROCEDURE UNIT SERVICES
RIGHT OF APPEAL
Section 1126.91 - Provider right of appeal
Universal Citation: 55 PA Code ยง 1126.91
Current through Register Vol. 54, No. 12, March 23, 2024
(a) The hospital's 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.
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