Coverage

  • Erringer v. Thompson

    Ninth Circuit: Medicare Manual Provisions on Contractors’ Local Coverage Determinations Are Not Substantive Rules Subject to Rulemaking Requirements of Administrative Procedures Act and Medicare Act

    Legal Areas:

    June 10, 2004

  • Zolezzi v. Pacificare of Cal.

    Medicare Act Does Not Preempt State Statute Requiring Certain Disclosures Before Binding Arbitration Clause Is Enforceable

    Legal Areas:

    January 21, 2003

  • Minn. Senior Fed'n v. United States

    Eighth Circuit Holds Regional Differences in Medicare C Payment Levels do not Violate Equal Protection or Right to Travel

    Legal Areas:

    December 13, 2001

  • In re Lipsitz

    Appeals Council Finds Extended Inpatient Services Covered by Medicare Where Transfer to Nursing Facility was Delayed

    Legal Areas:

    October 11, 2001

  • Morris v. Shalala

    Fifth Circuit Court Upholds Denial of Nursing Services Under Medicare As Being Supported by Substantial Evidence

    Legal Areas:

    March 22, 2000

  • Richey v. Shalala; In re Richey

    Medicare to Cover Lung Volume Reduction Surgery Because It Was Safe, Effective, and "Reasonable and Necessary"

    Legal Areas:

    February 01, 2000

  • In re M.P.

    Nursing Home Ordered to Absorb Care Costs Because It Failed to Give Written Notice of Noncoverage by Medicare

    Legal Areas:

    October 11, 1996

  • Mary K., In re

    Medicare Claimant Entitled to Coverage for Purchase of Jobst Venous Pressure Gradient Supports

    Legal Areas:

    March 14, 1995

  • Shepard v. Shalala

    Medicare Claimant Entitled to Coverage for Hospitalization Pending Diagnosis of Knee Pain

    Legal Areas:

    March 02, 1995

  • Doe, In re

    Medicare Beneficiary Who Was Not Affected by Reconsidered Determination Is Entitled to Hearing on Claim Denial

    Legal Areas:

    November 07, 1994

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