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2021 ALJ Decisions








  
  
    

  
      





2021.12.28 CR6010 Glenview Terrace Nursing Center v. CMS2021.12.28 CR6009 Oakwood Manor Nursing Home v. CMS2021.12.23 CR6008 Christopher Lynn Kyzar v. The Inspector General2021.12.21 CR6007 Andrea Moniquea Jackson Henry, DDS v. The Inspector General2021.12.21 CR6006 Heidi Woody, NP, formally known as Heidi Richards, NP v. CMS2021.12.21 CR6005 Yolanda Hamilton, M.D. v. The Inspector General2021.12.17 CR6004 Daisy Holdings, LLC d/b/a Pine Creek Care Center v. CMS2021.12.17 CR5999 411 Urgent Care Center, LLC v. CMS2021.12.16 CR6003 Michelle Kapon, MD and Michelle Kapon, MD, LLC v. CMS2021.12.23 CR6002 Redbanks Colonial Terrace v. CMS2021.12.16 CR6001 *In re* LCD Complaint: Hyaluronan Acid Therapies for Osteoarthritis of the Knee (L35427)2021.12.15 CR6000 Cucumber Holdings, LLC dba Stoney Point Healthcare Center v. CMS2021.12.10 ALJ Ruling No. 2022-1 New Castle Health and Rehabilitation Center v. CMS2021.12.10 CR5998 Astoria Pharmacy Inc. v. CMS2021.12.09 CR5997 *In re* LCD Complaint: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36159)2021.12.08 CR5996 Sonjay Fonn, D.O. and Midwest Neurosurgeons, LLC v. CMS2021.12.07 CR5995 *In re* LCD Complaint: Urological Supplies (L33803)2021.12.03 CR5994 John O. Dimowo, MD v. CMS2021.12.03 CR5993 *In re LCD Complaint:* Implantable Continuous Glucose Monitors (I-CGM) (L38743)2021.12.02 CR5992 Musu Kandeh v. The Inspector General2021.12.02 CR5991 Ennis Care Center v. CMS2021.12.01 CR5990 Fawad Hameedi v. CMS2021.11.30 CR5989 Generations at Rock Island v. CMS2021.11.30 CR5988 Bedford Care Center of Newton v. CMS2021.11.30 CR5987 Alan DeSilva, MD v. CMS2021.11.24 CR5986 Ifeanyi Udezulu, M.D. and Lily Internal Medicine & Associates, LLC v. CMS2021.11.24 CR5984 Epic Nursing & Rehabilitation v. CMS2021.11.24 CR5983 Shelia Ann Reed v. The Inspector General2021.11.23 CR5985 Bernadette Iguh, M.D. v. The Inspector General2021.11.19 CR5982 Denver David Tackett, DMD v. The Inspector General2021.11.18 CR5981 Devine Solutions Group LLC d/b/a Quick Response EMS v. CMS2021.11.18 CR5980 Louise Knudson, CRNA v. CMS2021.11.17 CR5979 Griffith Park Healthcare Center v. CMS2021.11.12 CR5978 Farah Divanbeigi, D.D.S. v. The Inspector General2021.11.12 CR5977 Country Lawn Center for Rehabilitation and Nursing Care, Inc. v. CMS2021.11.09 CR5976 Laboratorio Concordia Lugaro v. CMS2021.11.09 CR5975 Life Care Center of Kirkland v. CMS2021.11.04 CR5974 Navasota Nursing and Rehabilitation LP v. CMS2021.11.01 CR5973 Skyview Care and Rehab at Bridgeport v. CMS2021.10.27 CR5972 College Park Rehabilitation and Care Center v. CMS2021.10.26 CR5971 Deriviere Medical Corporation v. CMS2021.10.25 CR5970 Fame Health Care Services, Inc. v. CMS2021.10.22 CR5969 Timothy Ekhlassi, M.D., M.P.H. v. CMS2021.10.22 CR5968 DiNapoli and DiNapoli, Inc. v. CMS2021.10.22 CR5967 Frank B. Lee, M.D. v. CMS2021.10.21 CR5966 Lee Snyder, MD v. CMS2021.10.21 CR5965 *In re LCA Complaint:* Home PT/INR Monitoring for Anticoagulation Management (LCA A55754)2021.10.20 CR5964 Darlene Chavez, CSW v. CMS2021.10.20 CR5963 Donald Willems v. The Inspector General2021.10.19 CR5962 Pine Brook Care Center v. CMS2021.10.19 CR5961 Longview Hill Nursing and Rehabilitation Center v. CMS2021.10.18 CR5960 Samuel Bride, M.D. v. CMS2021.10.15 CR5959 Bucksport Regional Health Center v. CMS2021.10.12 CR5958 Parth S. Bharill, M.D. v. CMS2021.10.12 CR5957 John Nwora, MD v. CMS2021.10.08 CR5956 Dr. Ajibola Ayeni v. The Inspector General2021.09.30 CR5955 Kern River Transitional Care v. CMS2021.09.30 CR5954 Kakra S. Gyambibi, MD v. CMS2021.09.30 CR5952 Arcadia Medical Center, LLC v. CMS2021.09.29 CR5953 Michael Edward Barri v. The Inspector General2021.09.29 CR5951 Countryside Health Center Operations, LLC v. CMS2021.09.29 CR5950 Elkader Care Center v. CMS2021.09.29 CR5949 Sarasota Memorial Nursing and Rehabilitation Center v. CMS2021.09.24 CR5948 Geer Nursing and Rehabilitation v. CMS2021.09.23 CR5947 Gardens of McGregor and Amasa Stone v. CMS2021.09.22 CR5946 Paulette Jackson v. The Inspector General2021.09.20 CR5945 Mark Pluym, M.D. v. CMS2021.09.20 CR5944 Aiken Neurosciences and Pain Management, LLC v. CMS2021.09.20 CR5942 Morris View Healthcare Center v. CMS2021.09.17 CR5943 Life Care Center of Copper Basin v. CMS2021.09.15 CR5941 Regency Park Nursing Center v. CMS2021.09.15 CR5937 Jaga Nath S. Glassman, M.D. v. CMS2021.09.14 CR5939 Union City Care Center v. CMS2021.09.13 CR5940 Shiloh Nursing and Rehab, LLC v. CMS2021.09.13 CR5938 Trishwant Garcha, MD v. CMS2021.09.07 CR5936 Lilia Gorovits, M.D. v. CMS2021.09.02 CR5935 Wells LTC Partners, Inc. v. CMS2021.09.01 CR5934 Kasra Morshedizadeh, MD v. CMS2021.08.30 CR5833 Tammy Mae Bortz v. The Inspector General2021.08.23 CR5932 Ronald Gaster, MD v. CMS2021.08.23 CR5931 Village Apothecary, Inc. v. CMS2021.08.19 CR5930 Lindberg Crossing Senior Living v. CMS2021.08.18 CR5929 Thomas Heggen, M.D. v. CMS2021.08.18 CR5928 Shaun Thaxter v. The Inspector General2021.08.18 CR5927 Symphony at 87th Street v. CMS2021.08.17 CR5926 Sunsites Pearce Fire District v. CMS2021.08.17 CR5925 Broadway By The Sea v. CMS2021.08.17 CR5924 Alexandria Care Center v. CMS2021.08.16 CR5923 Vision Services, P.C. v. CMS2021.08.13 CR5921 Riverside Nursing and Rehabilitation Center v. CMS2021.08.12 ALJ Ruling No. 2021-7 Chesapeake Bay Holdings, LLC d/b/a Clearwater Healthcare Center v. CMS2021.08.12 CR5922 Lutheran Home v. CMS2021.08.12 CR5920 Megan Schweizer, FNP v. CMS2021.08.11 CR5919 *In re* LCD Complaint: Ambulance Services (Ground Ambulance)2021.08.10 CR5918 Anthony Agadzi, M.D. v. CMS2021.08.10 CR5917 Champion Chiropractic Life Center, Inc. v. CMS2021.08.09 CR5916 Dennis D. Tedford, M.D. v. The Inspector General2021.08.03 CR5915 *In re* LCD Complaint: Tumor Treatment Field Therapy2021.08.03 CR5914 Pulmonary and Critical Care Specialists of Northern Virginia v. CMS2021.08.03 CR5913 Sundance Inn Health Center v. CMS2021.08.02 CR5906 Sunrise Lee v. The Inspector General2021.07.29 CR5912 Melissa Sulima v. Social Security Administration2021.07.27 CR5911 Pacific Health Education Cognitive Center v. CMS2021.07.26 CR5910 *In re* LCD Complaint: Wheelchair Options/Accessories2021.07.21 CR5909 Robin Snead, M.D. v. CMS2021.07.21 CR5908 *In re* LCD Complaint: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L33718)2021.07.21 CR5907 Mercy Home Care, Sioux City v. CMS2021.07.14 CR5905 Sweet Brook of Williamstown Rehabilitation & Nursing Center v. CMS2021.07.14 CR5903 The Cleveland Clinic Foundation v. CMS2021.07.13 CR5904 Providence Mount St. Vincent v. CMS2021.07.12 CR5900 Samuel Behrman v. CMS2021.07.09 ALJ Ruling No. 2021-6 The Heights of Tomball v. CMS2021.07.09 CR5902 *In re* LCD Complaint: Tumor Treatment Field Therapy2021.07.08 CR5901 TMK Enterprises v. CMS2021.07.07 CR5899 Marilou Maya Zananski v. The Inspector General2021.07.07 CR5898 Richard Melville, PT, DPT, ATC v. CMS2021.07.07 CR5897 Briarcrest Nursing Center v. CMS2021.07.07 CR5896 *In re LCD Complaint:* Hemoglobin A1C Level2021.07.02 CR5895 Jeffrey Nelson, M.D. v. CMS2021.07.01 CR5894 Mahendra Shah, MD v. CMS2021.06.29 CR5893 Edward S. Ragsdale, Ph.D. v. CMS2021.06.29 CR5892 Neil Niren, MD v. CMS2021.06.28 CR5891 Carolann M. Oliphant v. The Inspector General2021.06.23 CR5890 Signature HealthCARE at Jackson Manor Rehab and Wellness Center v. CMS2021.06.21 CR5889 Alden Terrace Convalescent Hospital v. CMS2021.06.17 CR5888 Windows for Hope, Inc. v. CMS2021.06.14 CR5887 Justin LaMonda, MD and Justin G. LaMonda, MD LLC v. CMS2021.06.14 CR5886 Ann Marie Nelson v. The Inspector General2021.06.11 CR5885 Spectrum Health Rehab and Nursing Center - Fuller Ave v. CMS2021.06.11 CR5879 Dimitrios N. Minadakis, PA-C, et. al. v. CMS2021.06.10 ALJ Ruling No. 2021-5 Shaun Thaxter v. The Inspector General2021.06.10 CR5884 Montgomery County Nursing Home v. CMS2021.06.09 CR5883 Ifeanyi Irubor v. The Inspector General2021.06.08 CR5882 Wilfredo Nieves v. The Department of Health and Human Services2021.06.07 CR5881 Stanford Care and Rehabilitation v. CMS2021.06.07 CR5880 Huntington Healthcare Center v. CMS2021.06.03 CR5878 St. Petersburg Nursing and Rehabilitation v. CMS2021.06.02 CR5877 Anthony Bruce Camillo v. The Inspector General2021.06.02 CR5876 *In re* LCD Complaint: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (Noridian Healthcare Solutions - L34993)2021.05.28 CR5875 Paul Iweriebor, CRNP v. CMS2021.05.26 CR5874 Wilton C. Calderon Jr. v. The Inspector General2021.05.24 CR5870 Rishi Ramdial v. The Inspector General2021.05.24 CR5869 Ana Guitty v. The Inspector General2021.05.21 CR5873 Legend Healthcare and Rehabilitation - Paris v. CMS2021.05.20 CR5872 Scotty Rose v. CMS2021.05.19 ALJ Ruling No. 2021-4 Stockdale Residence and Rehabilitation Center v. CMS2021.05.18 CR5871 Nikki N. Kim, MD v. CMS2021.05.17 CR5867 Advanced Rehabilitation and Healthcare of Live Oak v. CMS2021.05.14 CR5868 Dr. Eric Thomas v. CMS2021.05.13 ALJ Ruling No. 2021-3 AristaCare at Whiting v. CMS2021.05.13 CR5866 Brown Chiropractic LLC v. CMS2021.05.13 CR5865 Rego Park Health Care v. CMS2021.05.11 CR5864 James M. Hawk v. CMS2021.05.04 CR5863 Kennybrook Village v. CMS2021.05.04 TB5285 CTP v. Tasbeeh Petroleum Inc. d/b/a Mobil Mart2021.05.03 CR5862 Sports Medicine Rehabilitation Associates, By Casiano Flaviano, MD v. CMS2021.04.29 CR5861 Justin Camillo and ACN Medical Labs v. CMS2021.04.28 CR5860 Eddie Rosa, M.D. v. CMS2021.04.28 CR5859 The Rosewood Health Center v. CMS2021.04.27 ALJ Ruling No. 2021-2 The Medical Resort at Willowbrook v. CMS2021.04.26 CR5858 Luis F. Ycaza, D.O. v. CMS2021.04.20 CR5857 Abdul-Hady Kheder, MD, Americare Medical Associates, LLC, and Hamilton Hospitalists, LLC v. CMS2021.04.16 CR5856 Peter Nwoke, MD v. CMS2021.04.16 CR5855 Wade D. Abbey, O.D. v. CMS2021.04.14 CR5854 Pennsylvania Nursing and Rehabilitation Center v. CMS2021.04.14 CR5853 The Voorhees Care and Rehabilitation Center v. CMS2021.04.13 CR5852 Uma Chintapalli, MD v. CMS2021.04.12 CR5851 Villa Marin v. CMS2021.04.09 CR5850 Tomas Jelinek, PT and Hawk Associates, Inc. v. CMS2021.04.08 CR5849 Presbyterian Village v. CMS2021.04.08 CR5848 Cristina Tobon-Chung, FNP v. CMS2021.04.08 CR5847 Jaqueline Howard, MD v. CMS2021.04.07 CR5844 Presbyterian Village v. CMS2021.04.06 CR5846 Salman Ali, DPT v. The Inspector General2021.04.06 CR5845 Roohi Ali, DPT v. The Inspector General2021.04.06 CR5842 Holiday Care Center v. CMS2021.04.05 CR5843 Cheryl Ackerman, MD v. CMS2021.03.31 CR5841 Shirley Ann Douglas v. The Inspector General2021.03.26 CR5840 David Lee Smith, M.D. v. CMS2021.03.24 CR5839 Victoria Care Center v. CMS2021.03.24 CR5838 *In re* LCD Complaint: Glucose Monitors (LCD No. L33822)2021.03.24 CR5837 Grays Harbor Health & Rehabilitation Center v. CMS2021.03.24 CR5834 *In re* LCD Complaint: Vitamin D Assay Testing (L34051)2021.03.23 CR5836 Shore Meadows Rehab & Nursing Center v. CMS2021.03.23 CR5835 Palm Gardens Center for Nursing and Rehabilitation v. CMS2021.03.23 TB5284 CTP v. KDC, Inc. d/b/a Zip's Party Store / Marathon2021.03.23 TB5283 CTP v. Cape Tobacco Inc. d/b/a Santa Tobacco2021.03.18 TB5282 CTP v. A and Imran Corporation d/b/a Discount Mart 24/72021.03.17 CR5833 Yazan B. Al-Madani, DDS v. The Inspector General2021.03.11 CR5832 Generations at Lincoln v. CMS2021.03.11 TB5281 CTP v. Randleman Trading, Inc. d/b/a Carolina Super Mart2021.03.10 CR5831 Jodi Lynn Levins v. The Inspector General2021.03.04 CR5830 Aleksey Illyuk v. CMS2021.03.03 CR5829 Kathryn Ann Olson v. The Inspector General2021.03.03 CR5828 York Healthcare and Wellness Centre v. CMS2021.03.01 CR5827 Steven Noskow, MD v. CMS2021.02.26 CR5826 Arnold Jerome Hudson v. The Inspector General2021.02.25 CR5825 Briana L. Boyd, M.D. v. CMS2021.02.25 CR5824 Debra L. Anderson, PhD v. CMS2021.02.23 CR5823 Elizabeth Smelik v. CMS2021.02.23 CR5822 Wax David Flowers, Ph.D. v. The Inspector General2021.02.22 CR5821 Shashibala Soni, M.D. v. CMS2021.02.22 TB5280 CTP v. Sublime Plus Inc. d/b/a City Mini Mart2021.02.19 CR5820 Martin Maag, M.D. v. CMS2021.02.19 CR5819 Generations at Peoria v. CMS2021.02.19 CR5818 Christopher Bowers, DC and Bowers Chiropractic PLLC v. CMS2021.02.18 CR5817 Elite Care Ambulance, Inc. d/b/a Care Plus Medical Services v. CMS2021.02.18 CR5816 Sun Health La Loma Care Center v. CMS2021.02.18 CR5814 Ramona Alea, CRNA and Alea Anesthesia, P.A. d/b/a Alea Enterprises, LLC v. CMS2021.02.17 CR5815 Thomas Sahs v. The Inspector General2021.02.16 CR5813 Adobe ENT & Allergy, LLC v. CMS2021.02.16 CR5812 Potomac Falls Health & Rehab Center v. CMS2021.02.11 CR5811 Golden Living Center - Morgantown v. CMS2021.02.11 CR5810 Chaudary Kahan v. The Inspector General2021.02.10 CR5809 Stephen D. White, M.D. v. CMS2021.02.10 CR5808 Medical Social Services of South East Texas, Inc. v. CMS2021.02.10 CR5807 Mohsen T. Moghaddam, MD v. CMS2021.02.05 CR5806 Michael Elliott, DC v. CMS2021.02.05 CR5801 Padmaja Chalasani and Chalasani, M.D., Inc. v. CMS2021.02.04 CR5805 Redwood Healthcare Center, LLC v. CMS2021.02.03 CR5804 Lamont J. Cardon, M.D. and Lamont J. Cardon MD A Professional Corporation v. CMS2021.02.03 CR5803 Michael Flood, D.P.M. v. The Inspector General2021.02.02 CR5802 Dr. Howard Van Nostrand, DC v. CMS2021.01.29 CR5800 Ronald Grusd, M.D. v. CMS2021.01.29 CR5798 Lawrence Street Health Care Center v. CMS2021.01.27 CR5799 Paul Brody, DPM v. CMS2021.01.26 CR5797 Karim Maghareh, Ph.D. and BestCare Laboratory Services, LLC v. CMS2021.01.26 CR5796 Sterling Place, LLC v. CMS2021.01.25 TB5276 CTP v Karter One LLC d/b/a Kartar Food Mart/Phillips 662021.01.22 CR5795 Jeffrey K. McIlroy, MD, Inc. v. CMS2021.01.22 CR5794 Alan Marcus, M.D. and South Orange County Endocrinology v. CMS2021.01.15. TB5275 CTP v M.M. Fowler, Inc. d/b/a Family Fare/BP2021.01.12 CR5792 Medford Multicare Center for Living v. CMS2021.01.08 TB5274 CTP v Richard Lorenz d/b/a Rick's Gas Station2021.01.07 CR5793 Franciscan Health Michigan City v. CMS

                    
  


Content created by Departmental Appeals Board (DAB) Content last reviewed August 25, 2022 Back to top
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