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Doe, In re
(SSA Office of Hearings & App. Nov. 7, 1994) ; Clearinghouse Number: 50584
Description
Medicare Beneficiary Who Was Not Affected by Reconsidered Determination Is Entitled to Hearing on Claim Denial
Abstract
The Appeals Council has remanded to the administrative law judge
(ALJ) claimant’s request for a hearing on the denial of
Medicare coverage for home health care services provided by a
visiting nurse association. Claimant had been denied coverage
solely because of technical issues, including lack of documentation
and lack of a plan of care, and the visiting nurse association was
held solely liable for the cost of claimant’s care. Finding
that claimant was not affected by the reconsideration decision, the
ALJ denied her request for a hearing. On appeal, claimant argued
that the ALJ erred by relying on regulations that govern the Part B
fair-hearing process in order to deny a Part A claim before an ALJ.
The Appeals Council agreed. The Appeals Council found that 42
C.F.R. § 405.704(b) specifically includes as initial
determinations any made with respect to the number of home health
visits utilized and that, in this case, determinations of
noncoverage were made on 11 skilled nursing and 6 home health aide
visits. Accordingly, the Appeals Council directed the ALJ to hold a
hearing on claimant’s claim.
Additional Information
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