Angelitos Health Care v. Becerra

• Court: Court of Appeals for the Fifth Circuit
• Decided: April 13, 2023
• Docket: 22-40298
• Status: Unpublished

Opinion

Case: 22-40298 Document: 00516710951 Page: 1 Date Filed: 04/13/2023

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit

____________ FILED April 13, 2023 No. 22-40298 Lyle W. Cayce ____________ Clerk

Angelitos Health Care, Incorporated,

Plaintiff—Appellant,

versus

Xavier Becerra, Secretary, U.S. Department of Health and Human Services,

Defendant—Appellee. ______________________________

Appeal from the United States District Court for the Southern District of Texas USDC No. 7:20-CV-35 ______________________________

Before King, Jones, and Duncan, Circuit Judges. Per Curiam: * Angelitos Health Care (“Angelitos”) provides home health care services to Medicare beneficiaries. In 2011, a government contractor audited a random sample of Angelitos’ 2008–09 Medicare claims, found that numerous claims were improperly documented, and concluded through statistical extrapolation that Angelitos had been overpaid by over $1 million.

_____________________ * This opinion is not designated for publication. See 5th Cir. R. 47.5. Case: 22-40298 Document: 00516710951 Page: 2 Date Filed: 04/13/2023

No. 22-40298

Angelitos challenged the audit through Medicare’s administrative appeals process, which involves further review by additional contractors, an Administrative Law Judge, and the Medicare Appeals Council. See Maxmed Healthcare, Inc. v. Price, 860 F.3d 335, 338 (5th Cir. 2017). This process largely confirmed the initial audit. Angelitos then sought judicial review. With the exception of one claim not relevant here, a magistrate judge recommended upholding the Council’s decision. The district judge adopted the recommendation in full, and Angelitos appealed. Having carefully reviewed the record, the detailed opinion by the magistrate judge, and the parties’ briefs, and having also heard oral argument, we find no reversible error. AFFIRMED.