AHA, Health Systems Sue HHS Over Medicare Payments
On Thursday, the American Hospital Association and four health systems filed a lawsuit in federal court against HHS for denying hospitals Medicare payments for audited outpatient procedures. According to the lawsuit, CMS refuses to make the payments in cases where auditors retroactively determine that an inpatient service should have been performed outside the hospital. The suit asks the court to override the non-payment policy and reimburse hospitals that have been denied payment in past years.
- "AHA Sues HHS Over Medicare Payment Denials" (Daly/Carlson, Modern Healthcare, 11/1).
- "Hospitals Sue Federal Government for Unfair Medicare Practices" (AHA release, 11/1).