Nelson Hardiman successfully defended a hospital in a million dollar dispute with the State of California over an incentive it had earned for being an early adopter of electronic health records (EHR). After a routine audit, the State alleged that our client had counted patients wrongly and should only have received $3.27 million of the $4.21 million it had been paid. The discrepancy turned on complex definitions about what constituted a patient day. Specifically, the State alleged that psychiatric bed days were not eligible to be counted in the total bed days for EHR purposes. Nelson Hardiman argued that the billing and cost report reporting of the psychiatric bed days for our client were countable under the State’s program. The administrative law judge agreed with our position and cut the refund request down to approximately $192,000.
Posted on March 5, 2018
Join Us for the third webinar of Nelson Hardiman LLP’s webinar series on Tuesday, June 13 – “A New Sheriff in Town: The Groundbreaking Emergence of the FTC in Privacy Enforcement”So You Thought You Knew Healthcare Privacy… – “How We Got Here: HIPAA and 42 CFR Part 2”Client Alert: Telehealth Gets 11th Hour Federal Reprieve as the Public Health Emergency Ends May 11, 2023Join Us for the second webinar of Nelson Hardiman LLP’s webinar series on Tuesday, May 16 – “How We Got Here: HIPAA and 42 CFR Part 2”The Inevitable Implosion of Healthcare Privacy