Oakland Physicians Med. Ctr. v. Azar

Amit P. Mehta, United States District Judge *393I. INTRODUCTION

To appeal, or not to appeal? That is the question Plaintiff Oakland Physicians Medical Center faced in the fall of 2014, after a Medicare administrative contractor ("MAC") issued two Notices of Program Reimbursement ("NPR") for the fiscal years ending in 2010 and 2011, which Plaintiff viewed as under-reimbursing it for eligible Medicare costs. How and when Plaintiff could have challenged those determinations is at issue in this case.

The Medicare statute gives a dissatisfied provider the right to appeal a MAC's final decision to the…