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2023 ALJ Decisions








  
  
    

  
      





Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®2023.12.20 TB7406 CTP v. Stop "N" Save, Inc. d/b/a Cheap Way2023.12.14, CR6406, Kivarkis Younan, M.D. / The Younan Group, PA v. CMS2023.12.14, CR6405, Aristacare at Whiting v. CMS2023.12.12, CR6404, 247 Supply, Inc. d/b/a Mazal Med Supply v. CMS2023.12.12, CR6403, Jesse Joseph Marstrell v. The Inspector General2023.12.13, CR6402, Remington Transitional Care of Richardson v. CMS2023.12.06, CR6401, In re LCD Complaint: External Breast Prostheses (not specifically identified)2023.12.04, CR6400, Regency Grande Nursing & Rehabilitation Center v. CMS2023.12.04, CR6399, Xiaoyan Dai, DMD, PC. V. CMS2023.12.01, TB7284, Center for Tobacco Products v. Tobacco N Vapes Inc. d/b/a Cigar N Vape2023.11.30, CR6398, King of Prussia Surgery Center, LLC v. CMS2023.11.24, CR6397, In re LCD Complaint: Assays for Vitamins and Metabolic Function (L34914)2023.11.17, CR6396, John T. Spannuth v. CMS2023.11.17, CR6394, Wallace M. Green, PA-C v. CMS2023.11.15, CR6395, Sandeep S. Sohal, MD, PC v. CMS2023.11.15, CR6393, Mansion Nursing & Rehabilitation Center v. CMS2023.11.09, CR6392, Nationwide Children’s Hospital Toledo, LLC v. CMS2023.11.09, CR6391, Trinity Hill Care Center, LLC v. CMS2023.11.08, TB7206, Center for Tobacco Products v. The Bronx Inc. d/b/a Fill N Shop / Food Shop2023.11.07, CR6390, Omair Chaudry, MD v. CMS2023.11.09, CR6389, Tawni Fuller v. CMS2023.11.02, CR6388, Brendon Cox v. The Inspector Genera2023.11.02, CR6387, Genuine Love In Home Care v. CMS2023.11.02, CR6386, James Bryan Grierson, M.D., v. The Inspector General2023.11.02 ALJ Ruling No. 2024-3 24-7 Medical Transportation Service, LLC v CMS2023.11.01, CR6385, Oduah Daniel Osaro, M.D., v. CMS2023.11.01, CR6384, Luis Ramos v. The Inspector General2023.11.01, CR6383, Sheepshead Nursing and Rehabilitation Center v. CMS2023.10.31, CR6382, Drew Toriano Armstead v. The Inspector General2023.10.27, CR6381, Chioma Udemgba, M.D., v. U.S. Department of Health and Human Services2023.10.27, CR6380, Brian O’Connor v. CMS2023.10.26, CR6379, Seerour LLC v. CMS2023.10.26, CR6377, Preakness Healthcare Center v. CMS2023.10.26, CR6376, Matthew Kurdziolek v. SSA2023.10.26, CR6378, James W. Heroman, M.D., v. The Inspector General2023.10.20, CR6374, Wheelchair City Inc. v. CMS2023.10.17, CR6375, Sibyl K. Simon, M.D., P.L. v. CMS2023.10.16 ALJ Ruling No. 2024-2 Anthony Glenn Rogers, M.D., v. CMS2023.10.13, CR6373, Longview Hill Nursing and Rehabilitation Center v. CMS2023.10.13, CR6372, Pacific Diagnostic, Inc. v. CMS2023.10.12 TB7085 CTP v. Kedzie Services, Inc. d/b/a Amoco2023.10.10, CR6371, Satonya Hendon v. The Inspector General2023.10.06, CR6369, Midlothian Healthcare Center v. CMS2023.10.05, CR6370, Paris Health and Rehabilitation Center v. CMS2023.10.03 ALJ Ruling No. 2024-1 Toni De Lanoy v. The Inspector General2023.09.29, CR6368, Holly Springs Rehabilitation and Healthcare Center v. CMS2023.09.29, CR6367, Gums Dental Care, LLC. v. Director of the Office of Civil Rights2023.09.29, CR6365, Hossain Sahlolbei, M.D. v. CMS2023.09.29, CR6364, Afzal Beemath, M.D. v. The Inspector General2023.09.28, CR6366, Asistencia Villa Rehabilitation and Care Center v. CMS2023.09.28, CR6363, T&F Drugs Inc. v. CMS2023.09.28, CR6362, Generations at Peoria v. CMS2023.09.28, CR6361, William G. Carruthers, RN, APRN v. CMS2023.09.27, CR6360, Apollo Pharma Inc. D/B/A East Broadway Pharmacy v. CMS2023.09.28, CR6359, Rio Hondo Healthcare, Inc. D/B/A Downey Post Acute v. CMS2023.09.27, CR6358, Shannon Detty, M.D. v. CMS2023.09.26, CR6357, Dhulmar Health Care Services LLC v. CMS2023.09.25, CR6356, Wilton Clinton Meeks, III v. The Inspector General2023.09.18, CR6355, St. Jude Operating Company dba Health Care at Foster Creek v. CMS2023.09.19, CR6354, Mohammed M. Mohiuddin, M.D. v. CMS2023.09.18, CR6353, Morningside Manor v. CMS2023.09.15, CR6352, Windsor Atrium v. CMS2023.09.15, CR6351, Willow Rose Rehab & Health Care Center v. CMS2023.09.14, CR6350, New Jersey Veterans Memorial Home at Paramus2023.09.14, CR6348, Luther Manor Health Care Center v. CMS2023.09.13 TB6991 CTP v. Carolina Cigar of Delray, LLC d/b/a Carolina Cigar2023.09.12, CR6349, Boulevard Manor, LLC v. CMS2023.09.06, CR6347, Dima Medical Supplies, Inc. v. CMS2023.09.06, CR6346, Atlantic Emergency Associates PA v. CMS2023.08.31, TB6955, CTP v. Royalty and Sons, Inc. d/b/a BP2023.08.31. TB6951, CTP v. Esam Alsaidi d/b/a Forbes Tobacco2023.08.29, CR6345, Casey Healthcare Center v. CMS2023.08.29, CR6344, Sadia Motunrayo Gyimah v. The Inspector General2023.08.28, CR6343, Alfred A. Conteh v. The Inspector General2023.08.28, CR6342, Philip E. Michael, II v. The Inspector General2023.08.28, CR6341, Lakeisa Buckner v. The Inspector General2023.08.25, CR6340, LCD Complaint: Pressure Reducing Support Surfaces – Group 2 (L33642)2023.08.25, CR6339, In re LCD Complaint: CT of the Abdomen and Pelvis (L34415)2023.08.23, TB6247, CTP v. Broad Gas LLC d/b/a US Gas2023.08.16, CR6338, Exceptional Health Care Maricopa LLC, A Texas LLC d/b/a Maricopa Community Hospital v. CMS2023.08.17, CR6337, Mary Margaret Kober, M.D. v. CMS2023.08.15, CR6336, Beecher Manor Nursing and Rehab Center2023.08.14, CR6335, Tri Do, M.D. v. CMS2023.08.11 ALJ Ruling No. 2023-12 Skyline Wound Care, PLLC v. CMS2023.08.11, CR6334, Delta Health System d/b/a Delta Health – Highland Hills v. CMS2023.08.14, CR6333, Generations at Elmwood Park v. CMS2023.08.11, CR6332, David Russell Weaver v. The Inspector General2023.08.11, CR6331, Medical Center Hospitalists Associates PLLC v. CMS2023.08.11, CR6330, Focused Care At Midland v. CMS2023.08.04 ALJ Ruling No. 2023-11 Asbury Place at Maryville v. CMS2023.08.04, CR6329, James Sadler, MD, et al. v. CMS2023.08.04, CR6328, Romanth Waghmarae, M.D. v. CMS2023.08.03 TB6211 CTP v. Riggins, Inc. d/b/a Riggins2023.08.03, CR6327, Jennifer Mae Gilpatrick v. The Inspector General2023.08.02, CR6326, Honorine Mutamuriza v. The Inspector General2023.08.03, CR6325, Refractive Lenses (L33793)2023.07.27, CR6324, Sunita Kain Kumar v. The Inspector General2023.07.27, CR6323, Eqlima Sidiqi v. The Inspector General2023.07.27, CR6322, Cedar Hills Geriatric Center v. CMS2023.07.25, CR6321, Willow Rose Rehabilitation & Health Care v. Centers for Medicare & Medicaid Services2023.07.25 ALJ Ruling No. 2023-10 Elite Ambulatory and Surgery Center v. CMS2023.07.24, CR6320, Mary H. Christofferson v. U.S. Department of Health and Human Services2023.07.20, CR6319, Thrive Medical Supplies, Inc. v. CMS2023.07.21, CR6318, Thomas Bailey, M.D. v. CMS2023.07.19, CR6317, Rio Hondo Healthcare, Inc. d/b/a Downey Post Acute v. CMS2023.07.19, CR6316, Tammy Dobbin, APN and Ebony Wellness, LLC v. CMS2023.07.17, CR6315, Life Care Center of Merrimack Valley v. CMS2023.07.12, TB6169, CTP v. Duffy and Associates, Inc. d/b/a Discount Tobacco2023.07.12, TB6143, CTP v. Swami Mahant LLC d/b/a Up In Smoke Tobacco Outlet2023.07.10, CR6314, Elizabeth Ann Prophitt v. The Inspector General2023.07.06, CR6313, Twin Pines Nursing and Rehabilitation Center v. CMS2023.07.06, CR6312, Shaunta Lesae Whiting v. The Inspector General2023.06.30, CR6310, Luedtke Storm – Mackey Chiropractic Clinic SC v. CMS2023.06.29, CR6309, Phong Hung Tran, M.D. v. The Inspector General2023.06.26, CR6308, Hollis K. Barton v. CMS2023.06.26 ALJ Ruling No. 2023-9 David Plitt, MD v. CMS2023.06.23, CR6307, Ronald Yunis, MD v. CMS2023.06.23, CR6306, Yoakum Nursing and Rehabilitation Center2023.06.22 ALJ Ruling No. 2023-8 Spring Meadows Health Care Center v. CMS2023.06.22, CR6305,Janice Cassandra Wrenn v. The Inspector General2023.06.21, CR6304, Morris View Healthcare Center2023.06.20, CR6303, Merissa Griffin Waddy v. The Inspector General2023.06.20, CR6302, Christina Dawn Hison v. The Inspector General2023.06.15, CR6301, William Todd Ainsley, DPM v. CMS2023.06.15, CR6300, Briarcliff Health Center v. CMS2023.06.13, CR6299, Kamal A. Patel, M.D. v. CMS2023.06.13, CR6298, Dawn Whitten v. The Inspector General2023.06.12, CR6297, Emad Mikhail Bishai, M.D. v. CMS2023.06.08, CR6296, Mohammed Tariq Amin v. The Inspector General2023.06.08, CR6295, Chaim Charles Steg v. The Inspector General2023.06.06 CR6294, Andrea Simerick v. SSA2023.05.02, CR6293, Quantox Lab, LLC v. CMS2023.05.25 CR6292, Hal Medical O&P PC v. CMS2023.05.23 CR6291, Samirkumar Shah, M.D. v. The Inspector General2023.05.23 CR6290, Saba F. Osmani, M.D. v. CMS2023.05.22 CR6289, Foothills Acres Rehabilitation & Nursing Center v. CMS2023.05.19 CR6288, 353 Empire Pharmacy Inc. d/b/a Wellpha, Inc. v. CMS2023.05.19 CR6287, Cork Medical, LLC v. CMS2023.05.19 CR6286, Life Care Center of St. Louis v. CMS2023.05.18 CR6285, Steven C. Adamczyk, DO, v. The Inspector General2023.05.17 CR6284, Ahmer Hussain, M.D., v. CMS2023.05.17 CR6283, Magnolia Holdings, LLC DBA Oak River Rehab v. CMS2023.05.11 CR6282, Janell Olson v. The Inspector General2023.05.09 CR6281, Forest City Rehab & Nursing Center v. CMS2023.05.09 CR6280, Alal, LLC d/b/a Kei-Ai Los Angeles Healthcare Center v. CMS2023.05.05 CR6279, Brenda Lee Figueroa v. The Inspector General2023.05.01 CR6277, Creekside Healthcare Center v. CMS2023.05.01 CR6276, Jessica Hayes-Cook v. The Inspector General2023.04.27 TB5802, CTP v. Psycle Sam's Heady Glass LLC d/b/a Psycle Sam's Heady Glass2023.04.26 CR6275, Alieu Drammeh v. The Inspector General2023.04.25 CR6274, In re LCD Complaint: Epidural Steroid Injections for Pain Management (L39054)2023.04.25 CR6273, Elmer Nielsen Jr. v. The Inspector General2023.04.25 CR6272, Norlane Sloan v. The Inspector General2023.04.25 ALJ Ruling No. 2023-7 Sun West Choice Healthcare and Rehabilitation v. CMS2023.04.23 TB5863, CTP v. West Side Food Inc. d/b/a Family Foods Basket2023.04.20 CR6271, Hemalatha Naganna, MD, and C. Naganna, MD, PA v. CMS2023.04.18 CR6270, Victor Lin, D.O. v. CMS2023.04.14 CR6269, Foly Coker v. The Inspector General2023.04.14 CR6268, Darren Michael Martin v. The Inspector General2023.04.13 CR6267, Jeffrey Dale Hoffman v. The Inspector General2023.04.12 TB5804, CTP v. Mirae Corporation d/b/a Cigar Land2023.04.07 CR6266, Gary Green v. The Inspector General2023.04.07 CR6265, The Springs Healthcare and Rehabilitation v. CMS2023.04.07 CR6264, Matthew Alexander Camera v. The Inspector General2023.04.06 CR6263, Zalwango Health & Wellness Concierge, P.C. and Mastura Zalwango v. CMS2023.04.03 CR6262, Susan M. Gillispie v. CMS2023.03.31 ALJ Ruling No. 2023-6 Christina Paylan, M.D. v. CMS2023.03.31 CR6260, In re LCD Complaint: Urological Supplies (LCD No. L33803)2023.03.30 CR6261, Barbara Bradley v. CMS2023.03.29 CR6259, Patrick Toy, MD v. CMS2023.03.29 CR6258, Hill Country Nursing and Rehab v. CMS2023.03.23 CR6257, Rajninder K. Jutla, MD, v. CMS2023.03.21 CR6256, Homayoun Sasson, MD, v. CMS2023.03.20 CR6255, Azsha Matthews, N.P., v. CMS2023.03.20 CR6254, Sun West Choice Healthcare and Rehabilitation v. CMS2023.03.16 CR6253, Aillyn Aulov v. The Inspector General2023.03.13 CR6252, Wynwood Rehabilitation and Health Care Center v. CMS2023.03.09 CR6251, Wound Pros Arizona v. CMS2023.03.09 CR6250, Wound Pros Nevada v. CMS2023.03.06 CR6249, Eric Schmidt, MD v. CMS2023.03.06 CR6248, Greenville Post-Acute v. CMS2023.03.03 CR6247, Fares J. Rabadi, MD v. CMS2023.03.03 CR6246, Jordan Sudberg, MD and Jordan Sudberg, MD, PC v. CMS2023.03.01 ALJ Ruling No. 2023-5 Neurorestorative Nevada v. CMS2023.03.01 CR6245, Ronald D. Wilcox, M.D. v. U.S. Department of Health and Human Services2023.03.01 CR6244, Mark G. Boles, M.D. v. CMS2023.02.28 CR6243, Generations at Lincoln v. CMS2023.02.27 CR6242, David Anderson, M.D. v. CMS2023.02.23 CR6241, In re LCD Complaint: Routine Foot Care (L35138); Debridement of Mycotic Nails (L35013)2023.02.22 CR6240, Tiza Wilder v. SSA2023.02.21 CR6239, Samuel Nathan Richmeier v. The Inspector General2023.02.21 CR6238, Jewel N. Coleman v. The Inspector General2023.02.22 CR6237, Coral Reef Subacute Care Center v. CMS2023.02.17 CR6236, William E. O’Connor, Jr., M.D., v. The Inspector General2023.02.17 CR6235, Ara Keshishian, M.D. and Ara A. Keshishian A Professional Medical Corporation, v. CMS2023.02.17 CR6234, Patricia Sams v. The Inspector General2023.02.16 TB5732 CTP v. Lincoln Park Smokers LLC d/b/a Lincoln Park Smoker’s2023.02.16 CR6233, Annette M. Bosworth, M.D. v. CMS2023.02.16 CR6232, Phoenix Healthcare, LLC d/b/a Green Country Care Center v. Office for Civil Rights2023.02.13 CR6231, Hillcrest Health and Rehabilitation v. CMS2023.02.10 CR6230, Mi Casita LTC Partners, Inc., v. CMS2023.02.10 CR6229, Lisa Beth Goldberg v. The Inspector General2023.02.10 CR6228, Compassus Hospice and Palliative Care – St. Louis v. CMS2023.02.07 CR6227, Generations at Elmwood Park v. CMS2023.01.31 CR6226 Nelsa Odina Rodriguez-Cespedes, M.D. v. The Inspector General2023.01.30 CR6225 In re LCD Complaint: Immune Globulin Intravenous (IVIg) (L34074)2023.01.30 CR6224 Concordia Village Of Tampa v. CMS2023.01.26 CR6223, John Krawczuk v. The Inspector General2023.01.23 CR6222 Miguel A. Garcia v. The Inspector General2023.01.20 CR6221 Hyde Park Health Center v. CMS2023.01.19 CR6220 In re LCD Complaint:Rituximab (L33394)2023.01.19 CR6219 Fulton Gardens Post-Acute, LLC v. CMS2023.01.19 CR6218 Iheoma Joann Obi-Azuike v. The Inspector General2023.01.18 CR6217 Kendrick Eugene Duldulao, M.D. v. The Inspector General2023.01.13 CR6216 Stuart Lewis v. CMS2023.01.12 CR6215 All Saints Healthcare Subacute v. CMS2023.01.10 CR6214 Sara A. Collier, M.D. v. CMS2023.01.06 CR6213 Fiaz Afzal, M.D., v. CMS2023.01.06 CR6212 Kingsville Nursing and Rehabilitation Center v. CMS2023.01.06 CR6211 Fort Worth Transitional Care Center v. CMS

                    
  


Content created by Departmental Appeals Board (DAB) Content last reviewed June 21, 2024 Back to top
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