Palm Valley Health Care, Inc. v. Alex M. Azar, II, Secretary of Health and Human Services
AdministrativeLaw SocialSecurity DueProcess
Whether an administrative process that is fraught with delay and fundamental unfairness and that clearly violates the provider's constitutional Due Process rights rendered a valid and defensible decision
QUESTIONS PRESENTED 1. Whether an administrative process that is fraught with delay and fundamental unfairness and that clearly violates the provider's constitutional Due Process rights rendered a valid and defensible decision. 2. Whether Respondent applied an incorrect and more onerous Medicare coverage criteria for homebound status based on subsequently issued rules due to its excessive delay in adjudicating the home health denials. 3. Whether Respondent committed error in adopting a non-scientific sampling methodology and extrapolation of the overpayment to the universe of 10,699 claims. i RULE 29.6 DISCLOSURE STATEMENT Pursuant to Rule 29.6 of the Rule of this Court, petitioner Palm Valley Health Care Incorporated states that it has no parent corporation, and no publicly held company owns 10% or more of its stock. LIST OF