D.C. Federal Judge Finds Hospitals Lacked Notice Of HHS Claim Filing Deadline

D.C. Federal Judge Finds Hospitals Lacked Notice Of HHS Claim Filing Deadline

WASHINGTON, D.C. - A federal judge in Washington on March 20 held that U.S. Department of Health and Human Services (HHS) regulations do not clearly require hospitals to file claims for supplemental medical education expenses associated with Medicare Part C enrollees within ordinary time frames for other types of claims through fiscal intermediaries. The judge concluded that because of inadequate notice, the department's denial of payments to three Philadelphia-area hospitals was reversed and remanded for processing of payments (Hospital of the University of Pennsylvania, et al. v Kathleen Sebelius, Secretary U.S. Department of Health and Human Services, No. 11-464, D. D.C.; 2012 U.S. Dist. LEXIS 37027).

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