Appeals Court Upholds CMS’ Fix For Improper Cuts To Inpatient Rates

By James Romoser / May 27, 2020 at 4:21 PM
Hospitals that were underpaid by Medicare in fiscal 2014 through 2016 are not entitled to precise refunds because CMS’ alternative remedy -- a one-time, across-the-board rate increase in 2017 that was meant to roughly offset the previous underpayments -- was reasonable, a federal appeals court ruled Tuesday (May 26). The decision is a defeat for dozens of hospitals that argued the agency should calculate individualized compensation amounts for every hospital that lost money as a result of pay cuts tied...


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