Federal Court Affirms Denial of Medicare Payment for Inpatient On-Call Services to Critical Access Hospital
By EsqSocial Corporation 08/04/21
On March 31, 2021, Judge Carl Nichols of the United Stated District Court for the District of Columbia issued a decision upholding CMS’s denial of reimbursement to a California Critical Access Hospital (CAH) for compensation it paid to physicians for being on call to provide inpatient services. St. Helena Clear Lake Hospital v. Becerra, No. 19-00141 (D.D.C. 2021). In so holding, the court rejected the hospital’s argument that these services were “necessary and proper” to comply with the...
By: King & Spalding