Introducing ATLASLearn more
Legal Opinion

Episcopal Hospital v. Commonwealth

Commonwealth Court of Pennsylvania

Decided July 8, 1987No. Appeal, No. 1253 C.D. 1986PublishedCited by 3 opinions

1Opinion of the Court

Opinion by

Judge Palladino,

Episcopal Hospital (Petitioner) appeals from an order of the Department of Public Welfare (DPW) denying Petitioner reimbursement for services provided to Helen Holland, a medical assistance (MA) recipient. We affirm.

The facts in this case are not in dispute.1 Holland was admitted for a direct laryngoscopy with biopsy and esophagoscopy on May 7, 1985 and discharged on May 8, 1985. The procedures were medically necessary. Petitioners claim for payment for these services was rejected by DPWs Bureau of Utilization Review (BUR). *274BUR determined the nature of the services…

2Cases cited3 opinions

  1. Commonwealth, Department of Public Welfare v. Forbes Health SystemSupreme Court of Pennsylvania · 1980
  2. Harston Hall Nursing & Convalescent Home, Inc. v. CommonwealthCommonwealth Court of Pennsylvania · 1986
  3. Eye & Ear Hospital v. CommonwealthCommonwealth Court of Pennsylvania · 1986

3Cited by3 opinions

  1. Oakmont Presbyterian Home v. Department of Public WelfareCommonwealth Court of Pennsylvania · 1993
  2. St. Christopher's Hospital v. CommonwealthCommonwealth Court of Pennsylvania · 1989
  3. Segal v. Department of Public WelfareCommonwealth Court of Pennsylvania · 1992

Showing a preview — retrieve the full document via the Exa API.

View API DocsGet API Key

Powered by the Exa API