AHA Sues HHS, Says Medicare is Refusing to Pay for Necessary Care

The American Hospital Association and four delivery systems have sued the Department of Health and Human Services, alleging the Medicare program is refusing to pay for hospital care provided to patients “even though all agree that the care provided was reasonable and medically necessary as the Medicare Act requires,” according to the lawsuit.

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Comments (3)
So RACs to the rescue! Hindsight is a wonderful thing. So the laywers now can fight it out so more money wasted. Laywers also would have benefited if outpt. was done and in hindsight AGAIN procedure should have been inpt. Why not just precert? And hold doctors harmless if wrong decision made? Let the paperpushers and lawyers fight it out. Let us take care of the pts.
Posted by mackley | Thursday, November 01 2012 at 7:41PM ET
This is all nice that the big players are arguing the perceived or real injustice. However hospitals could not exist without physicians. When a recovery audit occurs and the hospital payment is returned to Medicare it automatically means that related medical services for same hospital pay will be also recovered from physicians.
They are the ones who actually treat and direct the treatment of the patients. Why are the hospitals not including their physicians in the dispute.
They are only interested in their own reimbursement. Now here is the news: if the physicians will not get paid they may just decide not to work for the hospitals.

Good luck Gentleman the future of deficit is upon us.

Leslie Huszar MD
Vero Beach FL
Posted by lhuszar | Friday, November 02 2012 at 12:17AM ET
Get your brain checked! All players needed to be involved big and small. RAC means "rats accumutate cash". They needed to be held accountable if WRONG!
Posted by mackley | Saturday, November 03 2012 at 9:02PM ET
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