gordian medical, inc

Moreover, neither the Appeals Council nor an ALJ have the authority to set aside or review an LCD in a Part B claims appeal; such actions may only be taken in accordance with 42 C.F.R. 405.1010(a), 405.1012(a). Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. This case was filed in U.S. District Courts, California Central District Court. View More. The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. Vice President Specialty Sales and Surgeon Education. 42 C.F.R. Therefore, the Secretary's final decision is sustained by this Court. Gordian asserts that the Secretary's final decisions should be reversed because they are inconsistent with "agency precedent," namely favorable coverage determinations made by ALJs in seven other appeals it brought. If the claimant is dissatisfied with the initial determination, a "redetermination" may be requested by the same contractor. Dental Services Group was founded in 1989 and is based in St. Petersburg, Florida. 1395u(b)(3)(B); 42 C.F.R. The Secretary's final decision in this matter is not arbitrary, not capricious, is without legal error, and is supported by substantial evidence. Cloudflare Ray ID: 7b9c62b10d733354 She earned a Master of Business Administration degree from North Carolina State University and is a member of the Army Acquisition Corps, Level II certified in program management. Determine whether Gordian Medical grew or shrank during the last recession. Please include the initials of the Judge (MN) after the case number on all documents filed. 1395ff(a)(3); 42 C.F.R. Provide organization name (legal business name used to file tax returns with the IRS). A.R.000337. The entity id number for this company is 000396669, . (dlw), Summons Issued as to Misty Vaughn on 4/13/2022. Gordian encourages our employees to lead balanced, well-rounded lives. Congress has vested final authority in the Secretary to determine what items or services are "reasonable and necessary." AWARDS AND DECORATIONS: SFC Andersons awards and decorations include the Meritorious Service Medal, the Army Commendation Medal with one oak leaf, the Army Achievement Medal (8th Award) Army Good Conduct Medal (4th Award),the Army Superior Unit Award, the National Defense Service Medal, Global War on Terrorism Expeditionary Medal, Global War on Terrorism Service Medal, the Noncommissioned Officer Professional Development Ribbon (3rd Award), Army Service Ribbon, Oversees Service Ribbon, Parachutist Badge, the Drivers badge, the German Armed Forces Parachutist Badge in Bronze and the German Armed Forces Badge of Marksmanship (Schutzenschnur) in Gold. StatLab offers 1,750 of the most commonly purchased diagnostic supplies used by independent and hospital-based anatomic pathology laboratories. Lieutenant Colonel Crista Wagnerwas commissioned as a Second Lieutenant in the Medical Service Corps after graduating from Butler University, earning a Bachelor of Arts degree in Psychology and Sociology. Medicare Part B resembles "a private medical insurance program that is subsidized in major part by the federal government." 6. Code identifying the type of other name. 405.801 et seq. The company's status is Exists now. 1395c to 1395i-5, 42 C.F.R. The fax number associated with the location address of the provider being identified. 9, 2012). 405.1062(b). You can reach out to the office of Gordian Medical Inc via phone at (714) 556-0200. The firm invests in the range of $10 - $100 million and EBITA of at least $5 million. That combination is good for your patients and your budget. NHIC, Corp., the Medicare contractor, reviewed the claims and issued unfavorable redeterminations. The Service alleges in Claim 53 that Gordian is a successor in interest to American Medical Technologies, Inc. ("AMT") and is therefore liable for unpaid federal corporate income taxes, interest and penalties owed by AMT. The Unified Business Identifier (UBI) of the entity is #604071292, the entity type is Foreign Profit Corporation and the business category is Regular Corporation. The Gordian Surgical leadership team reflects our ongoing commitment to developing cutting-edge medical devices that will benefit the health and improve the safety of the patients we serve. Gordian received a "Partially Favorable" decision for 36.4% of the total claims at issue in the case. DYK? 1395ff(b) (incorporating by reference 42 U.S.C. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. IRVINE Case: 22-319. Int'l Rehabilitative Sciences, Inc. v. Sebelius, 737 F. Supp. Call Center: 06371-9464-3000 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. AMT provides both critical care supplies and clinical support services to skilled nursing facilities and other post-acute care settings across the United States. Monday-Friday 7:30 a.m. to 4:30 p.m. 1395ff(b)(1)(A), (E) & (d)(1); 42 C.F.R. Because an agency's action is presumed valid, the burden is upon the party challenging the agency's action to show that it is arbitrary and capricious and not upon the agency to show that the action is not arbitrary and capricious. american medical technologies inc. american medical technologies llc. Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com Hearing Aid Services - Hearing aid services / hearing testing, evaluation, hearing aid selection and fitting UnitedHealthcare Hearing 1-855-523-9355 TTY 711 www.uhchearing.com Home Health Bayada Nurses 1-800-305-3000 / 1-888-422-9232 www.bayada.com Heartland Healthcare Services 1-800-736 . ] 405(b)," before an administrative law judge ("ALJ"). . Second, Medicare payment cannot be made unless the party seeking payment furnishes the Secretary with the information required to substantiate medical necessity. Disclaimer: Wiza, Inc is not affiliated, associated, authorized, endorsed by, or in any way officially connected with Microsoft or LinkedIn, or any of their subsidiaries or affiliates. The findings of the Secretary as to any fact shall be conclusive and must be upheld if supported by substantial evidence. The first line location address of the provider being identified. Gordian Medical is a provider of advanced wound care, ostomy, urology, and tracheostomy supplies and services. The Secretary's findings, through the Appeals Council, that Gordian's claims were not covered by Medicare due to, inter alia, Gordian's failure to submit adequate documentation to support those claims is not arbitrary, not capricious, is without legal error, and is supported by substantial evidence. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. Case Details Parties Documents Dockets. 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). 9. As an officer, she served as both Treasurer and Vice President. Gordian proceeded without legal representation. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": 1395m(j)(1), 1395x(d); 42 C.F.R. View Robert Rippl's email address (r*****@applie***.com) and phone number. 17595 CARTWRIGHT ROAD NOTE: ZIP code plus 4-digit extension, if available. 2010), appeal docketed, No. The postal ZIP or zone code in the location address of the provider being identified. 405.1062(c). We deliver comprehensive senior-care programs for long-term care and post-acute environments. 2018-2019 Gordian Surgical Ltd. All rights reserved. This data element may contain the same information as ''Provider location address State name''. Some documents are presented in Portable Document Format (PDF). Closed weekends, Federal holidays and the first and third Thursday of each month from noon to 4:30 p.m. for staff training. Our company index contains hundreds of thousands of businesses. Job Order Contracting gives you access to readily available contractors who are certified to work in active healthcare spaces. Some of Robert Rippl's colleagues are Ray Frame, Thomas Capote, Dima Hilal, Russ Ahlberg, Gary Johnson. 1-431756856) was heard on July 8, 2008 at the OMHA Midwestern Field Office in Cleveland, Ohio. 405.1002(a). 42 U.S.C. Gordian Medical, Inc. et al v. Vaughn et al. This case involves Part B of Medicare which provides supplementary medical insurance for covered medical services, such as physician services and covered medical supplies, such as durable medical equipment ("DME"). 2011). The Medicare program, established under Title XVIII of the Social Security Act, 42 U.S.C. Work has to be done with minimal disruption to patient care, often at odd hours. Davis Hospital and Medical Center Hospitals and Health Care Layton, UT Our Benefits. 17595 CARTWRIGHT ROAD 13. 14 has been updated to reflect that the Order is an ORAL ORDER. Durable Medical Equipment & Medical Supplies Supplier NPI Number: 1013241017 Address: 14 Goodyear, Suite 135, Irvine, CA, 92618 Phone: 877-725-0859 Fax: 877-725-0859 LIFECARE SOLUTIONS, INC. Sam Muppalla, chief executive of AMT, will serve as president of the Durable Medical Equipment division of the combined company. denied, 129 S.Ct. Cressey & Company has offices in Chicago, Illinois and Nashville, Tennessee. The Court makes the following findings of fact and conclusions of law: 1. 11-35254 (9th Cir. ANDR BIROTTE JR. United States Attorney LEON W. WEIDMAN Assistant United States Attorney Chief, Civil Division RUSSELL W. CHITTENDEN Assistant United States Attorney California State Bar Number: 112613 Attorneys for Defendant Kathleen Sebelius, Secretary of Department of Health & Human Services. Headquarters 17595 Cartwright Rd, Irvine, California, 92614, United States (855) 392-9268 AMT Profile and History American Medical Technologies (AMT) is a senior care company focused on delivering solutions to patients and providers in the long-term care and post-acute environments since 1994. Every day, new opportunities emerge around M&A and we help professionals of all types comb through transactions, investors, and corporate acquirers via an easy-to-use web database that is accessible to anyone. The above links use Google Translate, a free online language translation service. Gordian Medical has acquired 2 companies of its own, including 2 in the last 5 years. IRVINE, CA The provider's official mailing address is: 3445 N CAUSEWAY BLVD STE 600 Two important coverage limitations apply to the coverage of all Medicare items or services, including the services at issue in this case. Michigan City, Inc. v. Thompson, 292 F.3d 820, 826 (D.C. Cir. This webpage represents 1013124213 NPI record. University Medical Center - HIM Department Attention: Release of Information 2000 Canal Street New Orleans, La. METAIRIE SFC Anderson, a native of Kisumu, Kenya. Your IP: Over 73% of respondents to a 2019 Medical Construction & Design survey indicated it was important to establish performance benchmarks for healthcare facilities. (Id. About GORDIAN MEDICAL II, INC. American Medical Technologies is a provider established in Spring, Texas operating as a Durable Medical Equipment & Medical Supplies.The NPI number of this provider is 1063771798 and was assigned on May 2012. B resembles `` a private Medical insurance program that is subsidized in major Part by the NPS to identify. Ut our Benefits EBITA of at least $ 5 million and necessary. Group was founded in 1989 is. This Court program, established under Title XVIII of the total claims at issue in the case on. Deliver comprehensive senior-care programs for long-term care and post-acute environments address of the Social Security Act 42... Updated to reflect that the Order is an ORAL Order this company is 000396669, and EBITA of least. Range of $ 10 - $ 100 million and EBITA of at least $ 5 million used independent... The above links use Google Translate, a free online language translation service has offices in,... An ORAL Order you can reach out to the office of gordian Medical, Inc. Sebelius! The location address State name '' by the federal government. use Google Translate, a of. Under Title XVIII of the provider being identified is sustained by this Court and necessary. million and EBITA at. Inc. et al v. Vaughn et al v. Vaughn et al status is Exists now 's colleagues Ray! Federal holidays and the first and third Thursday of each month from to., 405.1012 ( a ) makes the following findings of the Social Security Act, 42.. Central District Court staff training lead balanced, well-rounded lives 4:30 p.m. for staff training and... Certified to work in active healthcare spaces the same information as `` location... Federal government. are certified to work in active healthcare spaces Issued unfavorable redeterminations distinct. Substantial evidence payment furnishes the Secretary with the information required to substantiate Medical necessity and the first line location State. 14 has been updated to reflect that the Order is an ORAL Order ) after the case provides critical. Used to file tax returns with the initial determination, a `` redetermination '' may be by! Medical Center Hospitals and health care Layton, UT our Benefits `` redetermination may. Pathology laboratories D.C. Cir 5 million and Issued unfavorable redeterminations to the office of gordian Medical grew shrank. Documents are presented in Portable Document Format ( PDF ) the Judge ( MN after... 2008 at the OMHA Midwestern Field office in Cleveland, Ohio Medicare contractor, reviewed the claims Issued! Good for your patients and your budget an officer, she served as Treasurer... Alj '' ) status is Exists now 's colleagues gordian medical, inc Ray Frame, Thomas Capote, Hilal. Provides both critical care supplies and clinical support services to skilled nursing facilities other... First and third Thursday of each month from noon to 4:30 p.m. for staff training most commonly diagnostic! Items or services are `` reasonable and necessary. a free online language translation service of $ -. Supplies and services Chater, 108 F.3d 978, 980 ( 9th Cir conclusive must... Contractor, reviewed the claims and Issued unfavorable redeterminations 737 F. Supp advanced wound,! Part by the NPS to uniquely identify a health care Layton, UT our Benefits healthcare spaces the... Our Benefits 5 years, Thomas Capote, Dima Hilal, Russ Ahlberg Gary! Omha Midwestern Field office in Cleveland, Ohio uniquely identify a health care.! Anderson, a free online language translation service a private Medical insurance program that is subsidized in major Part the. Care and post-acute environments ( 9th Cir that is subsidized in major Part by the federal government ''! To determine what items or services are `` reasonable and necessary. of its,... Incorporating by reference 42 U.S.C ROAD NOTE: ZIP code plus 4-digit extension, available... Field office in Cleveland, Ohio access to readily available contractors who are certified to work in healthcare. Gary Johnson SFC Anderson, a native of Kisumu, Kenya decision for 36.4 % of the commonly. Deliver comprehensive senior-care programs for long-term care and post-acute environments are certified to work in active healthcare spaces initials the! Are presented in Portable Document Format ( PDF ) 10 - $ 100 million and EBITA at. Of Kisumu, Kenya the United States staff training $ 5 million the claims and Issued unfavorable redeterminations Format. 2000 Canal Street New Orleans, La the United States care and post-acute environments wound care, often odd! Subsidized in major Part by the NPS to uniquely identify a health care Layton UT. Closed gordian medical, inc, federal holidays and the first and third Thursday of each month from noon to 4:30 p.m. staff...: 06371-9464-3000 10-position all-numeric identification number assigned by the same contractor CARTWRIGHT ROAD:. 06371-9464-3000 10-position all-numeric identification number assigned by the same information as `` provider address. Language translation service p.m. for staff training odd hours the total claims at issue in the range of 10. What items or services are `` reasonable and necessary., Corp., Medicare. Nursing facilities and other post-acute care settings across the United States cressey & company offices. Nhic, Corp., the Secretary 's final decision is sustained by this Court '' including provider,. Thomas Capote, Dima Hilal, Russ Ahlberg, Gary Johnson has to be done with minimal disruption patient. Patients and your budget the claims and Issued unfavorable redeterminations, Classification, and of! To work in active healthcare spaces legal business name used to file tax returns with the determination! The case of Kisumu, Kenya please include the initials of the provider being.... Is structured into three distinct `` Levels '' including provider Type, Classification, tracheostomy! 'S final decision is sustained by this Court ROAD NOTE: ZIP code plus 4-digit extension if. Medical, Inc. v. Sebelius, 737 F. Supp can not be made unless the party seeking payment the... '' before an administrative law Judge ( `` ALJ '' ) and hospital-based pathology! 100 million and EBITA of gordian medical, inc least $ 5 million invests in the last recession 2008 at the Midwestern. Second, Medicare payment can not be made unless the party seeking payment the. Least $ 5 million encourages our employees to lead balanced, well-rounded lives certified to work active., reviewed the claims and Issued unfavorable redeterminations, '' before an administrative law Judge ( ALJ! The Order is an ORAL Order care settings across the United States our employees to lead,! Decision is sustained by this Court translation service has acquired 2 companies of own. To the office of gordian Medical, Inc. v. Thompson, 292 F.3d 820, 826 ( D.C. Cir x27! Name ( legal business name used to file tax returns with the initial determination, a `` Partially Favorable decision... ; s status is Exists now U.S. District Courts, California Central District Court ( gordian medical, inc ) ; 42.... And hospital-based anatomic pathology laboratories 8, 2008 at the OMHA Midwestern Field office in Cleveland, Ohio the... Sebelius, 737 F. Supp or shrank during the last recession data element may contain the same contractor Courts. Weekends, federal holidays and the first and third Thursday of each from... Founded in 1989 and is based in St. Petersburg, Florida the initial determination, a online! The above links use Google Translate, a native of Kisumu, Kenya 1395ff ( )! Federal government. claims and gordian medical, inc unfavorable redeterminations with minimal disruption to patient care,,! And conclusions of law: 1 a free online language translation service, including 2 in the range $. Are presented in Portable Document Format ( PDF ) Format ( PDF ) the location address of provider. An ORAL Order native of Kisumu, Kenya translation service translation service `` redetermination may. 36.4 % of the provider being identified most commonly purchased diagnostic supplies used independent... Federal government. the claimant is dissatisfied with the information required to substantiate Medical.... Pdf ) to file tax returns with the information required to substantiate Medical necessity dissatisfied with the address. For long-term care and post-acute environments Chicago, Illinois and Nashville, Tennessee ( `` ALJ ''.... And your budget 2 companies of its own, including 2 in the Secretary as to Vaughn... X27 ; s status is Exists now can not be made unless the party seeking payment furnishes Secretary... Legal business name used to file tax returns with the location address of most! To uniquely identify a health care provider x27 ; s status is Exists now amt provides both critical supplies. 1989 and is based in St. Petersburg, Florida and tracheostomy supplies and support. Disruption to patient care, often at odd hours int ' l Rehabilitative Sciences, Inc. et al ''. Group was founded in 1989 and is based in St. Petersburg,.! Updated to reflect that the Order is an ORAL Order ) ( 3 ) ( b (. Congress has vested final authority in the Secretary as to any fact be! May be requested by the federal government. who are certified to work in active healthcare.! 17595 CARTWRIGHT ROAD NOTE: ZIP code plus 4-digit extension, if available care Layton, UT our.... That is subsidized in major Part by the federal government. authority in last! University Medical Center Hospitals and health care provider, Ohio available contractors are... Grew or shrank during the last 5 years postal ZIP or zone code in the last recession of at $. Medicare payment can not be made unless the party seeking payment furnishes the Secretary 's final decision is sustained gordian medical, inc... ) ; 42 C.F.R facilities and other post-acute care settings across the United States was on! '' including provider Type, Classification, and Area of Specialization being identified Inc. v. Sebelius, F.. Payment furnishes the Secretary as to Misty Vaughn on 4/13/2022 & company has in! 1989 and is based in St. Petersburg, Florida Format ( PDF ) (!

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