medicare-regulations

8 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
24-1253 Darrell E. Williams, Personal Representative of the Estate of Moneena Williams, Deceased v. Promedica Health Systems Inc., et al. Third Circuit 2025-06-06 Denied Response WaivedRelisted (2) administrative-law circuit-split cms-rule constitutional-interpretation healthcare-compliance medicare-regulations Whether the CMS Rule 42 C.F.R. §483.70(n) is constitutional according to conflicting Circuit Court interpretations
22-7034 Earnest Gibson, IV v. United States Fifth Circuit 2023-03-17 Denied Response WaivedIFP administrative-law campus direct-supervision medical-treatment medicare-regulations off-site off-site-facility physician-oversight remote-location satellite-facility Whether Petitioner's PHP was in violation of Medicare's requirement that treatment must have occurred under a licensed physician's direct supervision?
21-366 Michael Jones v. United States Fifth Circuit 2021-09-08 Denied Response Waived criminal-intent criminal-prosecution due-process expert-testimony fifth-circuit fraud medicare-fraud medicare-regulations sufficiency-of-evidence Are the Medicare rules, regulations, and policies controlling in a criminal prosecution under 18 U.S.C. § 1347
20-1694 Gregory Molden v. United States Fifth Circuit 2021-06-08 Denied Response Waived civil-procedure constitutional-rights criminal-procedure criminal-prosecution due-process fifth-amendment health-care-fraud medicare medicare-regulations regulatory-compliance Is it a constitutional Fifth Amendment Due Process violation when a Health Care provider under the Federal Title XVIII Medicare Program is pursued by …
20-1692 Henry Evans v. United States Fifth Circuit 2021-06-07 Denied Response Waived administrative-law criminal-procedure criminal-prosecution expert-testimony health-care-fraud healthcare-fraud medicaid medicare medicare-regulations statutory-interpretation Whether Medicare regulations are controlling in a criminal prosecution under 18 U.S.C. § 1347
19-68 Unity HealthCare v. Alex M. Azar, II, Secretary of Health and Human Services Eighth Circuit 2019-07-12 Denied administrative-law agency-deference agency-interpretation auer-deference civil-procedure judicial-review kisor-v-wilkie medicare medicare-regulations statutory-interpretation volume-decrease-adjustment Whether federal courts must defer to an agency's reasonable interpretation of its own regulations
18A1260 Unity HealthCare v. Alex M. Azar II, Secretary of Health and Human Services Eighth Circuit 2019-06-04 Presumed Complete administrative-law agency-interpretation auer-deference judicial-review medicare-regulations volume-decrease-adjustment Whether federal courts must defer to an agency's reasonable interpretation of its own regulations under the Auer deference doctrine
18-828 Robert Ghiringhelli, et al. v. The Assurance Group, Inc. Sixth Circuit 2019-01-02 Denied Response Waived breach-of-contract civil-rights contract contract-law federal-preemption insurance insurance-industry insurance-law medicare medicare-regulations separate-accrual-rule statute-of-limitations Whether the separate accrual rule should apply to commissions earned by insurance agents and collected monthly by the insurance company, compelling ac…