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GROSSMONT HOSP. CORP. v. BURWELL

No. 12-5411.

797 F.3d 1079 (2015)

GROSSMONT HOSPITAL CORPORATION, doing business as Sharp Grossmont Hospital, et al., Appellants v. Sylvia Mathews BURWELL, Secretary, United States Department of Health and Human Services, Appellee.

United States Court of Appeals, District of Columbia Circuit.

Decided August 7, 2015.

Attorney(s) appearing for the Case

Robert L. Roth argued the cause for appellants. With him on the briefs was John R. Hellow.

Sydney Foster , Attorney, U.S. Department of Justice, argued the cause for appellee. With her on the brief were Ronald C. Machen, Jr., U.S. Attorney at the time the brief was filed, and Michael S. Raab , Attorney. R. Craig Lawrence , Assistant U.S. Attorney, entered an appearance.

Opinion for the Court filed by Senior Circuit Judge SENTELLE.

Appellants, California hospitals, sought reimbursement under the Medicare program for so-called "bad claims." Payment was denied because the claims were submitted to Medicare without first being submitted to the State of California for a determination of any payment responsibility it may have for the claims. The appellants...

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