42 CFR 405.1136 - Judicial review

Cite as42 CFR 405.1136
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68 practice notes
  • Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
    • United States
    • U.S. District Court — Southern District of Texas
    • January 31, 2017
    ...may be requested within 60 days of the decision, if the minimum amount remaining in controversy is met. 42 U.S.C. § 1395ff(b)(1)(E); 42 C.F.R. § 405.1136; 42 C.F.R. § 405.1130. Page 12Dkt. No. 27 at 8-9 (formatting altered). See also Dkt. No. 24 at 8-10 (same).6 B. The Secretary's Decisions......
  • Kaiser Found. Health Plan, Inc. v. Burwell, Case No. 14-cv-05255-EMC
    • United States
    • United States District Courts. 9th Circuit. United States District Courts. 9th Circuit. Northern District of California
    • November 30, 2015
    ...42 C.F.R. § 405.1130. Thereafter, a party dissatisfied with the Secretary's final decision may seek judicial review. 42 C.F.R. §§ 405.1130, 405.1136.Congress authorized the Secretary to establish guidelines to promote the “efficient 147 F.Supp.3d 901 and timely coordination of appropriate m......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...or supplier may only seek review in a federal district court after a receiving a decision from the MAC. 42 U.S.C. § 1395ff(b)(1)(A) ; 42 C.F.R. § 405.1136 ; 42 C.F.R. § 405.1130.II. APPLICABLE LAW"When a Rule 12(b)(1) motion is filed in conjunction with other Rule 12 motions, the court......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...or supplier may only seek review in a federal district court after a receiving a decision from the MAC. 42 U.S.C. § 1395ff(b)(1)(A) ; 42 C.F.R. § 405.1136 ; 42 C.F.R. § 405.1130.II. APPLICABLE LAW A party seeking a preliminary injunction must establish four elements: (1) a substantial likel......
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64 cases
  • Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
    • United States
    • U.S. District Court — Southern District of Texas
    • January 31, 2017
    ...may be requested within 60 days of the decision, if the minimum amount remaining in controversy is met. 42 U.S.C. § 1395ff(b)(1)(E); 42 C.F.R. § 405.1136; 42 C.F.R. § 405.1130. Page 12Dkt. No. 27 at 8-9 (formatting altered). See also Dkt. No. 24 at 8-10 (same).6 B. The Secretary's Decisions......
  • Kaiser Found. Health Plan, Inc. v. Burwell, Case No. 14-cv-05255-EMC
    • United States
    • United States District Courts. 9th Circuit. United States District Courts. 9th Circuit. Northern District of California
    • November 30, 2015
    ...42 C.F.R. § 405.1130. Thereafter, a party dissatisfied with the Secretary's final decision may seek judicial review. 42 C.F.R. §§ 405.1130, 405.1136.Congress authorized the Secretary to establish guidelines to promote the “efficient 147 F.Supp.3d 901 and timely coordination of appropriate m......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...or supplier may only seek review in a federal district court after a receiving a decision from the MAC. 42 U.S.C. § 1395ff(b)(1)(A) ; 42 C.F.R. § 405.1136 ; 42 C.F.R. § 405.1130.II. APPLICABLE LAW"When a Rule 12(b)(1) motion is filed in conjunction with other Rule 12 motions, the court shou......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...or supplier may only seek review in a federal district court after a receiving a decision from the MAC. 42 U.S.C. § 1395ff(b)(1)(A) ; 42 C.F.R. § 405.1136 ; 42 C.F.R. § 405.1130.II. APPLICABLE LAW A party seeking a preliminary injunction must establish four elements: (1) a substantial likel......
  • Request a trial to view additional results
2 firm's commentaries
  • Convoluted Conditional Payment Arguments Fail to Persuade Court in Florida Collateral Source Case
    • United States
    • LexBlog United States
    • May 11, 2021
    ...claim and whether the decision was supported by substantial evidence. 42 U.S.C. § 1395ff(b)(1), incorporating 42 U.S.C. §405 (g); 42 C.F.R. §405.1136(f). In examining the evidence, the Court affirmed the Appeals Council decision, denied Plaintiff’s motion for summary judgment, and granted D......
  • Medicare Part A & Part B: Audits And Auditors
    • United States
    • Mondaq United States
    • July 18, 2018
    ...Available at https://bit.ly/2HjPIIU 42 C.F.R. 405. §1100 (Medicare Appeals Council review: General) Available at https://bit.ly/2qseiN7 42 CFR 405.1136 (Judicial Review) Available at The content of this article is intended to provide a general guide to the subject matter. Specialist advice ......

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