New LifeCare Hospitals of North Carolina LLC v. Becerra
| Docket Number | 20-5227 |
| Decision Date | 10 August 2021 |
In 2008, four long-term care hospitals that treat patients who are dually eligible for the Medicare and Medicaid programs were denied reimbursement by the Secretary of Health and Human Services for “bad debts,” unpaid coinsurances and deductibles owed by patients. The Secretary denied reimbursement on the grounds that the hospitals failed to comply with the “must-bill” policy, 42 C.F.R. 413.89(e)(2), which requires hospitals to bill the state Medicaid program to determine whether Medicaid...
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4 cases
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Ascension Borgess Hosp. v. Becerra
...the standard of review of the Administrative Procedure Act ("APA"), 5 U.S.C. § 701 et seq. See New LifeCare Hosps. of N. Carolina, LLC v. Becerra , 7 F.4th 1215, 1222 n.1 (D.C. Cir. 2021) (citing Thomas Jefferson Univ. v. Shalala , 512 U.S. 504, 512, 114 S.Ct. 2381, 129 L.Ed.2d 405 (1994) )......
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Firsthealth Moore Reg'l Hosp. v. Becerra
...healthcare providers for delivering medical care to qualifying elderly and disabled individuals." New LifeCare Hosps. of N.C., LLC v. Becerra , 7 F.4th 1215, 1219 (D.C. Cir. 2021) (citing 42 U.S.C. § 1395 et seq. ). Participating healthcare providers, such as plaintiff, receive reimbursemen......
- Stephens Cnty. Hosp. v. Becerra
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Select Specialty Hospital-Denver, Inc. v. Becerra
...or bad debts, of these dual-eligible patients may be charged to a state Medicaid agency if required by that state's Medicaid program. See id. (citing Grossmont Hosp. Corp. v. Burwell, 797 F.3d 1079, 1081 (D.C. Cir. 2015). Only when states do “not cover the deductibles and coinsurances of du......