AdventHealth Shawnee Mission Medical Center in Merriam Kansas has filed a lawsuit accusing Blue Cross and Blue Shield of Kansas City of coordinating with third-party vendors to improperly reduce payments for inpatient services.
According to the hospital, Blue Cross KC rejected medical diagnoses using “dubious criteria” in their clinical validation audits, which is in violation of federal law, the suit claims.
The lawsuit alleged that Blue Cross KC invalidated more than 350 medical diagnoses and has yet to pay more than $2 million owed to the hospital…