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Hospital loses claim for Medicare reimbursement

By Virginia Lawyers Weekly  
   March 09, 2023

Where the Department of Health and Human Services, or HHS, denied a hospital’s request for Medicare reimbursement because it failed to submit information in a form that could be audited, that decision was affirmed. Relevant HHS regulations require the data to be “capable of verification by qualified auditors” and “capable of being audited.”

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