Hospitals fail to get back DSH payments

A group of hospitals owned by Baptist Memorial Health Care Corp. have failed in their most recent attempt to get HHS to pay what they say are $500,000 in legitimate disproportionate-share claims. The claims, which date from 1998, were discovered when a consultant working for the Memphis-based chain went over the books. The consultant filed an appeal on behalf of the three hospitals.

However, the appeal was dismissed by the Provider Reimbursement Review Board, which is tasked with handling disputes over Medicare and Medicaid. The PRRB said that the consultant missed one of the necessary filing deadlines. Undeterred, Baptist went to court to get the case reinstated. However, this week a federal judge ruled in favor of HHS.

To learn more about the dispute:
- read this Modern Healthcare piece (reg. req.)

Related Articles:
Federal bill would increase funding for DSH eligibility. Article
TN hospitals get $131M in DSH funds. Article

Suggested Articles

Humana filed suit Friday against more than a dozen generic drugmakers alleging the companies engaged in price fixing.

Nominations are open for our 2020 FierceHealthcare Fierce 15 awards. Think your company has what it takes? Submit your nominations here.

Medicare Advantage open enrollment kicked off last week, and insurers are taking new approaches to marketing a slate of supplemental benefit options.