Legal Opinion
National Association for Home Care & Hospice, Inc. v. Sebelius
District Court, District of Columbia
Decided November 3, 2015No. Civil Action No. 2014-0950PublishedCited by 4 opinions
1Opinion of the Court
MEMORANDUM OPINION
CHRISTOPHER R. COOPER, United States District Judge
This case requires the Court to interpret what it means to “document” that a meeting took place.. Seeking to-curb fraudulent Medicare claims, Congress included a provision in the Patient Protection and Affordable Care Act (“ACA”) that modified the requirements for Medicare reimbursement for services rendered to homebound patients. Whereas previously, physicians needed only to certify that a patient required home-health services, the new law requires them also to “document” that they have had a “face-to-face encounter” with…
2Cases cited11 opinions
- Chevron U. S. A. Inc. v. Natural Resources Defense Council, Inc.Supreme Court of the United States · 1984
- Bowen v. Georgetown University HospitalSupreme Court of the United States · 1988
- At&T Corp. v. Iowa Utilities BoardSupreme Court of the United States · 1999
- Catawba County v. Environmental Protection AgencyCourt of Appeals for the D.C. Circuit · 2009
- Methodist Hospital of Sacramento v. Donna E. Shalala, Secretary of Health and Human ServicesCourt of Appeals for the D.C. Circuit · 1994
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3Cited by4 opinions
- United States v. Warren DaileyCourt of Appeals for the Fifth Circuit · 2017
- E. Tex. Med. Center-Athens v. AzarCourt of Appeals for the D.C. Circuit · 2018
- Baker v. SpathDistrict Court, District of Columbia · 2018
- East Texas Medical Center Athens v. PriceDistrict Court, District of Columbia · 2018