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2022 ALJ Decisions








  
  
    

  
      





2022.12.30 CR6210 In re CMS LCD Complaint: Seat Lift Mechanisms (L33801)2022.12.29 CR6209 Brantley Paul Nichols, D.M.D., v. The Inspector General2022.12.27 CR6208 Aria Westfall v. The Inspector General2022.12.22 TB5657 CTP v. MUN Gas, Inc. d/b/a Marathon / Food Mart Smoke Shop2022.12.21 CR6207 Maryville Nursing Home v. CMS2022.12.22 TB5656 CTP v. Perry Ventures B LLC d/b/a Texaco 306965 / Extra Mile2022.12.21 CR6206 Tactile Systems Technology Inc. v. CMS2022.12.19 CR6204 Bridgette Johnson a.k.a. Bridgett Johnson v. The Inspector General2022.12.16 CR6205 Stacy L. Conn, FNP-BC v. CMS2022.12.15 CR6203 Michael Mak, M.D. a.k.a. Mikhail Makhmetov v. The Inspector General2022.12.15 CR6202 Hector Morales v. CMS2022.12.14 CR6201 Angelica Jones v. The Inspector General2022.12.13 CR6200 Generations at Rock Island v. CMS2022.12.08 TB5609 CTP v. MJ Mart, LLC d/b/a MJ Mart / BP2022.12.08 CR6199 Zeynab Sagna-Nardy aka Gaye Seynabou v. The Inspector General2022.12.05 CR6198 Jennifer De Los Santos v. CMS2022.12.05 CR6197 San Rafael v. CMS2022.12.01 CR6196 Sarah D. Carpenter v. HHS2022.11.28 ALJ Ruling No. 2023-4 Raydiant Health Care of Brandon v. CMS2022.11.25 CR6195 Darrel Van Hoose v. SSA2022.11.22 CR6194 Chikezie Onyenso, MD, and Total Support Medical Group v. CMS2022.11.21 CR6191 Esther L. Villanueva Valdes, M.D., v. The Inspector General2022.11.18 CR6192 David John Loiselle, D.P.M., v. The Inspector General2022.11.17 CR6193 Comeshia Hubbard v. The Inspector General2022.11.15 CR6190 Stephen Daniel Sasser, M.D., v. CMS2022.11.14 TB5586 CTP v. ESE Energy Corporation d/b/a Gulf Express2022.11.14 CR6189 Palolo Chinese Home v. CMS2022.11.14 ALJ Ruling No. 2023-3 David L. Smalley, Ph.D. v. CMS2022.11.09 CR6188 In re LCD Complaint: MRI and CT Scans of the Head and Neck (L37373)2022.11.08 CR6187 EI Medical, Inc. d/b/a Wheelchair and Scooter Repair a/k/a WSR Solutions v. CMS2022.11.07 CR6182 Sierra View Homes v. CMS2022.11.04 CR6186 Leanne Samantha Igo v. The Inspector General2022.11.04 CR6185 Antoinette Michelle Maxwell v. The Inspector General2022.11.04 CR6183 David Kiser v. SSA2022.11.02 CR6184 High Country Community Health v. CMS2022.11.01 ALJ Ruling No. 2023-2 Wallace Financial v. The Inspector General2022.10.31 CR6181 In re LCD Complaint: Tumor Treatment Field Therapy LCD ID Number: L34823,Contractor: Noridian Healthcare Solutions, LLC2022.10.27 CR6180 Kamal A Patel, M.D., v. CMS2022.10.25 ALJ Ruling No. 2023-1 Latosha L. Campbell v. The Inspector General2022.10.21 CR6179 C. Naganna MD, PA d/b/a Carroll Precision Imaging Carroll Heart Center v. CMS2022.10.20 CR6178 Global MD Systems Inc. v. CMS2022.10.19 CR6177 Walter N. Simmons, M.D., v. The Inspector General2022.10.18 TB5534 CTP v. JJ Mini Market LLC d/b/a Smoker’s Stop Convenience2022.10.14 CR6176 Jorge Sfeir, MD v. The Inspector General2022.10.14 CR6175 Vasan Haluthore Deshikachar v. The Inspector General2022.10.07 CR6173 The Hurlbut, LLC v. CMS2022.10.06 CR6174 Tomika Kimyata Lynette Jackson v. The Inspector General2022.10.06 CR6172 Kara Geno v. CMS2022.10.05 TB5530 CTP v. Faiza Enterprises Inc.d/b/a 7-Eleven 32343B2022.09.30 CR6171 Asim A. Hameedi, M.D., v. The Inspector General2022.09.30 CR6170 Selah Family Chiropractic, P.S. v. CMS2022.09.30 CR6169 Blue Valley Hospital v. CMS2022.09.30 CR6167 Levan Atanelov, M.D. v. CMS2022.09.29 CR6168 Witold M. Zajewski, MD v. CMS2022.09.29 CR6166 George E. Fisher, M.D. v. CMS2022.09.28 TB5494 CTP v. Muhammed Market 5 Inc. d/b/a Edgmont Deli2022.09.28 CR6165 Alan Young v. CMS2022.09.28 CR6164 Yukio Okutsu State Veterans Home v. CMS2022.09.28 CR6163 Madonna Manor v. CMS2022.09.28 CR6162 Bryan Wade Lewis v. The Inspector General2022.09.27 CR6161 Senior LIFE Lehigh Valley, Inc. v. CMS2022.09.26 CR6160 Robert Neal Portwood, P.A. v. CMS2022.9.21 TB5485 CTP v. Faiza Enterprises Inc. d/b/a 7-Eleven 380492022.09.21 CR6159 Courtney Suzanne Newman v. The Inspector General2022.09.19 CR6158 Anthony Del Piano, M.D. v. CMS2022.09.16 CR6157 Kedar K. Deshpande, MD v. The Inspector General2022.09.14 CR6156 Mt. San Antonio Gardens v. CMS2022.09.13 CR6155 Thomas James Carpenter, D.O., v. The Inspector General2022.09.12 CR6154 George Appiah, PharmD v. The Inspector General2022.09.12 CR6153 Yohannes Tinsae v. The Inspector General2022.09.12 CR6152 William Elder-Quintana, MD v. The Inspector General2022.09.09 CR6151 Douglas Shrewsbury v. The Inspector General2022.09.07 CR6150 Schoolcraft Medical Care Facility v. CMS2022.09.01 CR6149 In re LCD Complaint: Rituximab v. CMS2022.08.31 CR6148 Danna Elizabeth Henkelman v. The Inspector General2022.08.25 CR6147 The Heights of Tomball v. CMS2022.08.24 CR6146 Golden Living Center - Trussville v. CMS2022.08.22 CR6142 Vitas Laboratory, LLC v. CMS2022.08.22 CR6135 Vitas Laboratory, LLC v. CMS2022.08.18 CR6145 Maria Judith Torres v. The Inspector General2022.08.16 CR6143 Pinnacle Health & Rehab Canton v. CMS2022.08.17 CR6144 Janae Nichole Harper v. The Inspector General2022.08.15 CR6141 Nicole Hamel P.T. v. CMS2022.08.10 CR6136 Waleed Khan v. The Inspector General2022.08.09 CR6140 Rosario Gonzalez v. The Inspector General2022.08.09 CR6139 Roselia Kubeck v. The Inspector General2022.08.09 CR6138 Syed M. Aziz, M.D. v. CMS2022.08.08 CR6137 Martin B. Canter v. The Inspector General2022.08.05 CR6134 Jessica Yaudes, FNP-BC v. CMS2022.08.03 CR6131 Cadia Rehabilitation Renaissance v. CMS2022.07.29 CR6132 Larona R. Searcy v. CMS2022.07.29 CR6130 Lindsay Boitano v. The Inspector General2022.07.28 CR6129 Community Rehabilitation Center, LLC v. CMS2022.07.28 CR6127 Emerald Terrace Convalescent Hospital v. CMS2022.07.27 CR6128 Generations at Rock Island v. CMS2022.07.27 CR6126 Abramson Residence v. CMS2022.07.26 CR6125 Alexander Fligelman, DMD v. CMS2022.07.26 CR6124 Angela Kaye Anderson v. CMS2022.07.26 CR6123 Mahmoud Elmiari v. The Inspector General2022.07.22 CR6122 Sandra Jackson, CRNP v. CMS2022.07.22 CR6121 Stuart Todd Lewis, DO v. The Inspector General2022.07.22 CR6120 Colette Krum Kolesar v. The Inspector General2022.07.18 CR6119 Masonic Home of Shelbyville v. CMS2022.07.18 CR6117 Amira Mantoura, DPM v. CMS2022.07.14 CR6118 Nabil Jabbour v. The Inspector General2022.07.14 CR6116 Desert Canyon Post Acute, LLC v. CMS2022.07.12 CR6104 Bhupinder R. Gupta, MD v. CMS2022.07.08 CR6115 South Louisiana Nursing and Rehab; Maison DeVille Nursing Home of Harvey; Maison DeVille Nursing Home - Houma; Maison Orleans Healthcare of New Orleans; Park Place Healthcare; River Palm Nursing Home Rehab; and West Jefferson Healthcare Center v. CMS2022.07.07 CR6114 Mrugeshkumar Shah v. The Inspector General2022.07.06 CR6113 Brianna Marie Duffy v. The Inspector General2022.07.06 CR6112 Jason RH Castle, M.D. v. The Inspector General2022.07.05 CR6110 Laurie Provost v. The Inspector General2022.07.01 CR6111 Parminderjeet Sandhu v. The Inspector General2022.07.01 CR6109 Five Star Healthcare, LLC v. CMS2022.07.01 CR6108 Jeffrey David Gross, MD v. The Inspector General2022.06.30 CR6107 Yevgeny Tsyrulnikov v. The Inspector General2022.06.28 CR6106 Flora Gabriel Siwa v. The Inspector General2022.06.28 CR6105 Duke Ahn, M.D. v. CMS2022.06.23 ALJ Ruling No. 2022-5 The Reserve at Richardson v. CMS2022.06.17 CR6103 Anil Hanuman, D.O. v. CMS2022.06.16 CR6102 Paul Ross Sanders v. CMS2022.06.15 CR6101 Robbie Lee Robinson v. The Inspector General2022.06.15 CR6100 Windsor Calallen v. CMS2022.06.13 CR6099 Yolanda Custard v. The Inspector General2022.06.10 CR6098 Riverside Nursing and Rehabilitation v. CMS2022.06.09 CR6097 Kevin V. Patel, MD v. CMS2022.06.08 ALJ Ruling No. 2022-4 Tyler Healthcare Operations 2 LLC d/b/a Rose Trail Nursing and Rehabiliation Center v. CMS2022.06.08 CR6096 Preserve Independence v. CMS2022.06.08 CR6095 Phousavath Luangrath v. The Inspector General2022.06.07 CR6094 Medford Care Center v. CMS2022.06.07 CR6092 Cedar Hill Healthcare Center v. CMS2022.06.07 CR6091 Shakeel A. Kahn, M.D. v. The Inspector General2022.06.07 CR6090 Gavin Patrick Meany v. The Inspector General2022.06.06 CR6093 Stephen Ducker, M.D. v. CMS2022.06.03 CR6089 Clifford L. Thacker, M.D. v. CMS2022.06.02 CR6087 Hyde Park Healthcare Center v. CMS2022.06.01 CR6088 Care Medical Services PC v. CMS2022.06.01 CR6086 Christian Care Center v. CMS2022.05.26 CR6085 Cadia Rehabilitation Renaissance v. CMS2022.05.26 CR6084 A & E Home Supply, Inc. v. CMS2022.05.23 CR6083 Roji Esha v. The Inspector General2022.05.23 CR6082 Pacific Gardens Nursing and Rehabiliation Center v. CMS2022.05.23 CR6080 Dr. Cesar I. Vargas Quinones v. CMS2022.05.20 CR6081 Dr. Tim Baxter v. The Inspector General2022.05.19 CR6079 Caemeka Jackson v. The Inspector General2022.05.19 CR6078 Compassus - Kansas City v. CMS2022.05.18 CR6077 Park Valley Inn Health Center v. CMS2022.05.16 CR6076 Brenham Nursing and Rehabilitation Center v. CMS2022.05.16 CR6075 *In re* LCD Complaint: Percutaneous Arteriovenous Fistula (pAVF) for Hemodialysis (L38573)2022.05.12 CR6074 Brett E. Taft v. The Inspector General2022.05.11 CR6073 Parkview Manor Nursing and Rehabilitation v. CMS2022.05.06 CR6072 Garland V. Greene, M.D. v. CMS2022.05.05 CR6071 Victoria Falls Skilled Nursing and Rehab v. CMS2022.05.04 CR6070 Sylvie Wamba v. The Inspector General2022.05.03 CR6069 Isu Inc. v. CMS2022.04.29 CR6068 Rebecca G. Cairo v. The Inspector General2022.04.28 CR6067 Advanced Medical Transport of Springfield, Inc. v. CMS2022.04.21 CR6066 David Wulff v. CMS2022.04.21 CR6065 Eastern Star Masonic Home v. CMS2022.04.20 CR6064 Harrogate Family & Health Care Inc. v. CMS2022.04.14 CR6063 Devon Rambert-Hairston v. The Inspector General2022.04.14 CR6062 Ellen Bischoff, APRN v. CMS2022.04.14 CR6061 Cadia Healthcare - Hagerstown v. CMS2022.04.13 CR6060 Paul G. Carpenter, DC, and Chiropractic Associates of Bridgeport, LLC v. CMS2022.04.11 CR6058 Michael D. Brandner, M.D. v. CMS2022.04.08 CR6059 Consulate Health Care of Tallahassee v. CMS2022.04.01 ALJ Ruling No. 2022-3 The Reserve at Richardson v. CMS2022.03.31 CR6057 Timothy Hubbard, D.O. and Shorewood Family Medical Clinic, S.C. v. CMS2022.03.31 CR6056 HPC, LLC v. CMS2022.03.29 CR6055 Avamere Transitional Care Center of Puget Sound v. CMS2022.03.28 CR6054 In re LCD Complaint of Kathleen A. Oler2022.03.25 CR6053 Srinivas Prasad R. Jolepalem, M.D. v. CMS2022.03.25 CR6052 Sunrise Behavioral Health Clinic LLC v. CMS2022.03.24 CR6051 Nirmal Singh Rai v. CMS2022.03.23 CR6050 University of Maryland St. Joseph Medical Center, D/B/A St. Joseph Rehabilitative Services v. CMS2022.03.21 CR6049 Ajay Sonogram Inc. v. CMS2022.03.18 ALJ Ruling No. 2022-2 Faith Home Healthcare v. CMS2022.03.16 CR6048 Steven Hearne, MD and Delmarva Heart, LLC v. CMS2022.03.15 CR6047 Michael Yoong Lee d/b/a Lee's Niles Drug Store v. CMS2022.03.15 CR6046 Generations at Riverview v. CMS2022.03.11 CR6045 C.J. Yoon, M.D., PC v. CMS2022.03.10 CR6044 Colby Norris v. CMS2022.03.10 CR6043 Lifetime Medical Equipment and Supplies, LLC v. CMS2022.03.09 CR6040 Rehabilitation Center of Des Moines v. CMS2022.03.08 CR6042 Chris A. Ethridge, MD v. CMS2022.03.08 CR6041 Apollo Medflight, LLC v. CMS2022.03.08 CR6039 Forever Medical Supplies LLC v. CMS2022.03.07 CR6038 Saint Anne Nursing and Rehabilitation Center v. CMS2022.03.04 CR6037 Ranvir Ahlawat, MD v. CMS2022.03.03 CR6036 Clifton Oaks Care Center v. CMS2022.02.25 CR6035 Neelupalli Reddy, M.D. v. CMS2022.02.24 CR6034 Belmont Manor v. CMS2022.02.24 CR6033 Generations at Neighbors v. CMS2022.02.23 CR6031 Ellington Behavioral Health v. CMS2022.02.22 CR6032 Dr. Joseph Hummel and Prime MD, PC v. CMS2022.02.15 CR6030 The Wanaque Center for Nursing & Rehabilitation v. CMS2022.02.11 CR6027 Holly Marie Whyde v. The Inspector General2022.02.10 CR6029 Basem Abdulla Attum, M.D. v. CMS2022.02.08 CR6028 Crouse Community Center, Inc. v. CMS2022.02.07 CR6026 Yarnell Morgan Crawford, also known as Yarnell McKenzie v. The Inspector General2022.02.04 CR6025 Hazel Hawkins Memorial Hospital DP SNF v. CMS2022.02.03 CR6024 Leisure Glen Post Acute Care Center v. CMS2022.02.01 CR6023 Generations at Lincoln v. CMS2022.01.28 CR6022 Gary M. Fingerhut v. The Inspector General2022.01.27 CR6021 Kristin Dawn Mayle v. The Inspector General2022.01.25 CR6020 Valley House Rehabilitation Center v. CMS2022.01.25 CR6019 Brooke Knoll Village v. CMS2022.01.24 CR6018 Azria Health Olathe v. CMS2022.01.19 CR6017 Emily Duffy, NP v. CMS2022.01.19 CR6016 Nickolas Soumelidis, M.D. v. CMS2022.01.14 CR6015 James Rogan, M.D., P.C. v. CMS2022.01.11 CR6014 Janice Troisi v. The Inspector General2022.01.11 CR6013 Steppingstone Counseling and Che Blaine, LCSW v. CMS2022.01.06 CR6012 Christina Harris v. The Inspector General2022.01.05 CR6011 Alta Medical Services PC v. CMSDocuments in PDF format require the Adobe Acrobat Reader®. 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Content created by Departmental Appeals Board (DAB) Content last reviewed May 8, 2024 Back to top
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