AHA, hospitals mandamus complaint to compel timely administrative review of Medicare claims denials

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

COMPLAINT

Plaintiffs the American Hospital Association (“AHA”), Baxter Regional Medical Center, Covenant Health, and Rutland Regional Medical Center (collectively, “Plaintiffs”) bring this mandamus complaint to compel the Secretary of Health and Human Services (“HHS”) to meet the statutory deadlines for administrative review of denials of claims for Medicare reimbursement. Lengthy, systemic delays in the Medicare appeals process, which far exceed

View the detailed complaint below.