On March 27, 2018, the United States Court of Appeals for the Fifth Circuit published an opinion that provides Family Rehabilitation, Inc. (Family Rehab) a second chance to postpone recoupment of about $7.6 million in...more
4/12/2018
/ Administrative Appeals ,
Administrative Backlogs ,
Administrative Law Judge (ALJ) ,
Appeals ,
Dismissals ,
Due Process ,
Exhaustion Doctrine ,
Health Care Providers ,
Judicial Review ,
Medicare ,
Overpayment ,
Preliminary Injunctions ,
Recoupment ,
Reversal ,
Social Security Act ,
Subject Matter Jurisdiction ,
TRO ,
Ultra Vires
In a decision handed down on July 23, 2013, the United States Court of Appeals for the D.C. Circuit upheld the use by CMS of outside contractors to determine whether a home health agency’s reimbursement claims had exhibited a...more
The recently passed fiscal cliff legislation, i.e., the American Taxpayer Relief Act of 2012 (Act) [PDF], includes a number of provisions addressing Medicare and Medicaid. One of these provisions extends the recovery period...more