CHA News Article

AHA, Hospital Systems Sue HHS for Unfair Medicare Practices

The American Hospital Association filed suit yesterday against the U.S. Department of Health and Human Services for refusing to reimburse hospitals for reasonable and necessary care when the government determines inpatient hospital care could have been provided in an outpatient facility or department. This “re-billing” issue is of significant concern to the hospital industry, particularly as recovery audit contractors have increased their reviews of hospital claims. AHA was joined in the suit by four hospital systems in Michigan, Missouri and Pennsylvania. The lawsuit is attached, along with the AHA press release.