Prime Healthcare Huntington Beach, LLC v. Sylvia Mathews Burwell
||Prime Healthcare Huntington Beach, LLC
||Sylvia Mathews Burwell
||October 31, 2016
||US District Court for the Central District of California
||Michael R. Wilner
|Nature of Suit:
||Review or Appeal of Agency Decision
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|December 13, 2017
FINDINGS OF FACT AND CONCLUSIONS OF LAW signed by Judge Percy Anderson.The Secretary's final decision in this matter that the inpatient care provided to N.V. was not medically reasonable and necessary is supported by substantial evidence, is not arbitrary or capricious, and is without legal error. The Court therefore upholds the Secretary's final decision on this issue. The Court cannot, however, determine if the ALJ considered the proper standard for Plaintiff's claim under sections 1870 and 1879 for a waiver of overpayment. The Court therefore remands this action to the ALJ for consideration of Plaintiff's request for a waiver of overpayment under sections 1870 and 1879. (See document for further details) (mrgo)
|May 30, 2017
STIPULATED PROTECTIVE ORDER by Magistrate Judge Alicia G. Rosenberg. re Stipulation for Protective Order 31 . (See Order for Further Details) (kl)
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