Board of Trustees of Knox County (Indiana) Hospital v. Sullivan

CUMMINGS, Circuit Judge.

Knox County Hospital seeks review of the Secretary’s denial of the Hospital’s Medicare reimbursement adjustment for fiscal year 1984. The Hospital claims that it should have been classified as a rural referral center in 1984 under 42 U.S.C. § 1396ww(d)(5)(C), and is therefore entitled to a higher reimbursement rate for its treatment of Medicare patients in that year.1 Conceding that it does not meet the regulatory definition of a rural referral center in effect in 1984, the Hospital complains that the regulatory definition was contrary to its implementing statute and…