Articles related to Reimbursement Appeals & Litigation

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District Court (Again) Vacates HHS § 1115 Waiver Day Exclusion Rule in Covenant Medical Center v. Kennedy

[07/30/26]

Indiana Medicaid’s ABA Therapy Overhaul: What Changed on April 1, 2026

[04/02/26]

CMS Issues Final Rule for DSH Medicare Advantage Days Policy

[06/08/23]

Hospitals Win Battle Over Site-Neutral Pay Cuts

[09/18/19]

CMS’s Reach May Be Limited in Bankruptcy Proceedings

[09/17/19]

Can Individuals and Hospitals Sue Wrongdoers Under the Medicare Secondary Payer Act?

[09/17/19]

Allina Notice & Comment Requirement Trumps Bar to Review of Uncompensated Care Payments

[08/28/19]

Providers Victorious in DSH Medicare Advantage Days Case

[07/31/17]

CMS’s Outlier Reconciliation Process Violates the APA; Affected Providers May Have Reimbursement Recovery Opportunity

[10/10/16]

CMS Delays Implementation of NOTICE Act in Final Rule

[08/03/16]

CMS Did Not Finalize Proposed Changes to Cost Reporting Requirements and PRRB Appeals

[08/06/14]

CMS Proposes Changes to Cost Reporting and PRRB Appeal Regulations

[06/20/14]

DSH Medicaid Eligible Days Documentation

[05/28/14]

Important DSH Decision by Court of Appeals

[04/10/14]

CMS Delays Full Implementation of the 2-Midnight Rule Until January 1, 2014

[10/01/13]

D.C. Circuit Upholds Medicare Overpayment Extrapolation Determination

[08/01/13]

Allina Health DSH Case Implications: DSH Payments and 340B Eligibility

[02/14/13]

Second in Series on Medicare DSH Payment Issues

[09/19/12]