United States Supreme Court
Sebelius v. Auburn Regional Medical Center, 11-1231
In challenge by hospitals to Medicare's SSI fraction calculation, which affects the reimbursement amount health care providers receive for inpatient services rendered to Medicare beneficiaries and any upward adjustment for serving a disproportionate number of low-income patients, judgment allowing administrative appeal made 10 years after the determination, is reversed and remanded, where: 1) the 180-day limitation in section 42 USC 1395oo(a)(3) is not jurisdictional; 2) the Secretary reasonably construed the statute to permit a regulation extending the time for a provider's appeal to the Provider Reimbursement Review Board to three years; and 3) the presumption in favor of equitable tolling does not apply to administrative appeals of the kind here at issue.
Appellate Information
- Decided 01/22/2013
- Published 01/22/2013
Judges
- GINSBURG
Court
- United States Supreme Court