AHA, hospitals sue HHS for denied outpatient Medicare payments

Fierce Healthcare: November 2, 2012

It’s one of the most contentious issues between hospitals and the Centers for Medicare & Medicaid Services–payment for outpatient services, or lack thereof.

After years of arguments, the American Hospital Association yesterday filed a federal lawsuit against the U.S. Department of Health & Human Services for allegedly denying “hundreds of millions of dollars” in reimbursements for what it says is necessary care, according to the national trade group that represents nearly 5,000 hospitals.

Four hospitals also are listed as plaintiffs: Missouri Baptist Sullivan Hospital in Sullivan, Mo.; Munson Medical Center in Traverse City, Mich.; Lancaster (Pa.) General Hospital; and South Bend, Ind.-based Trinity Health Corporation, in the American Hospital Association v. Sebelius case.Read More