Opinion ID: 805482
Heading Depth: 2
Heading Rank: 2

Heading: indemnification and shifting liability

Text: TO BENEFICIARIES [10] Because the district court reversed the Medicare Appeals Council’s coverage denials, it did not reach the issues of whether substantial evidence supported the Medicare Appeals Council’s decision not to indemnify RS Medical for the coverage denials under the “limited liability” provision on the ground that the denials were foreseeable and whether substantial evidence supported the Medicare Appeals Council’s conclusions about which of the panoply of advance beneficiary notices in the record were sufficiently specific to shift liability to individual beneficiaries and which were too generic. 737 F. Supp. 2d at 1293-94; 42 U.S.C. § 1395pp. The district court should determine these issues in the first instance on remand. REVERSED AND REMANDED.