Hendrix and Formby Publish Article Posted on Long-Term Living
5/20/2010
AGG Managing Partner Glenn P. Hendrix and Of Counsel Daniel M. Formby wrote an article, “Court Recommends Rejection of Providers’ Right to Challenge Reopening of Claims by Medicare Contractors,” that was posted on May 27th on the Long-Term Living website. In Palomar Medical Center v. Sebelius, pending in the U.S. District Court of the Southern District of California, the federal Magistrate Judge has entered a report and recommendation finding that providers do not have the right to challenge a Medicare contractor's decision to reopen a claim for lack of "good cause" for the reopening. If the Magistrate Judge's report and recommendation is accepted by the U.S. District Court, it will be difficult for providers to challenge the decision of a Medicare contractor to reopen a claim, even if the reopening does not comply with the "good cause" requirement specified in federal regulations. To read the full article, please click here.
