No. 19-1425

Palm Valley Health Care, Inc. v. Alex M. Azar, II, Secretary of Health and Human Services

Lower Court: Fifth Circuit
Docketed: 2020-06-26
Status: Denied
Type: Paid
Response Waived
Tags: administrative-procedure administrative-process delay due-process fundamental-unfairness homebound-status medicare medicare-appeals overpayment overpayment-determination provider-rights statistical-sampling
Latest Conference: 2020-09-29
Question Presented (from Petition)

1. Whether an administrative process that is fraught with delay and
fundamental unfairness and that clearly violates the provider's
constitutional Due Process rights rendered a valid and defensible
decision.

2. Whether Respondent applied an incorrect and more onerous Medicare
coverage criteria for homebound status based on subsequently issued
rules due to its excessive delay in adjudicating the home health
denials.

3. Whether Respondent committed error in adopting a non-scientific
sampling methodology and extrapolation of the overpayment to the
universe of 10,699 claims.

Question Presented (AI Summary)

Whether an administrative process that is fraught with delay and fundamental unfairness and that clearly violates the provider's constitutional Due Process rights rendered a valid and defensible decision

Docket Entries

2020-10-05
Petition DENIED.
2020-07-15
DISTRIBUTED for Conference of 9/29/2020.
2020-07-07
Waiver of right of respondent Alex M. Azar, II, Secretary of Health and Human Services to respond filed.
2020-06-12
Petition for a writ of certiorari filed. (Response due July 27, 2020)

Attorneys

Alex M. Azar, II, Secretary of Health and Human Services
Jeffrey Bryan WallActing Solicitor General, Respondent
Palm Valley Health Care, Incorporated
Mark Stephen KennedyKennedy, Attorneys & Counselors at Law, Petitioner