DC Circuit Allows California Hospital to Seek HHS Reimbursement

A California hospital arguing that the Department of Health and Human Services undercounted the number of its Medicare patients entitled to benefits can proceed to seek reimbursement from the agency.

The US Court of Appeals for the District of Columbia Circuit ruled Friday that Pomona Valley Hospital Medical Center can continue its discovery that the agency failed to properly count Medicare patients entitled to supplementary security income benefits, which then led to it being undercompensated.

The DC Circuit agreed with the district court’s ruling: that despite Pomona’s failure to prove the agency’s undercount, it remanded the case to the Provider ...