american medical technologies inc. american medical technologies llc. RestorixHealth was established in 1997 and is based in White Plains, New York. Under 42 U.S.C. (lih), CORRECTING ENTRY: The docket text of D.I. Sllnerstrae 16, 92637 Weiden in der Oberpfalz The case status is Not Classified By Court. For each beneficiary at issue in this case, Gordian submitted in support of its claims for surgical dressings (1) a Nursing Facility Patient Wound Care Orders, (2) a Wound Evaluation Skin Integrity Evaluation Report, and (3) a long-term care facility admission sheet, prepared upon the admission of the beneficiary to the long-term care facility. Code identifying the type of other name. This address cannot include a Post Office box. 6. at 4. Access additional case information on PACER Use the links below to access additional information about this case on the US Court's PACER system. US. The State or Province name in the location address of the provider being identified. It also seeks controlling interest. Plaintiff, v. KATHLEEN SEBELIUS, Secretary of Health, Court:UNITED STATES DISTRICT COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA WESTERN DIVISION. Gordian Medical, Inc. v. Kathleen Sebelius Filing 66 MINUTES (IN CHAMBERS) Re Bench Trial #61 by Judge Christina A. Snyder: The Court finds for the Secretary. The amounts in controversy meet the jurisdictional requirements for hearings at the Office of Medicare Hearings and Appeals (OMHA). View Robert Rippl's email address (r*****@applie***.com) and phone number. 92614-5847, US. 1395ff(a). Debtor discharged: Debtor Gordian Medical, Inc. 17575 Cartwright Road Irvine, CA 92614 ORANGE-CA 714-556-0200 Tax ID / EIN: xx-xxx8007 Professional and Commercial Equipment and Supplies Merchant Wholesalers Merchant Wholesalers, Durable Goods Wholesale Trade Printer Friendly View Address: 17595 Cartwright Rd Irvine, CA, 92614-5847 United States Phone: Website: www.amtwoundcare.com Employees (all sites): Actual Revenue: Modelled Year Started: Incorporated: ESG ranking: Gordian Medical has acquired in 1 US state. 92614 162.243.31.236 421.210(b), 421.404(c)(2). The Medicare program, established under Title XVIII of the Social Security Act, 42 U.S.C. To improve the quality of life for senior patients through innovative and value-based risk management programs to support long-term care needs across all settings. APO, AE 09114, Klinikum Weiden TRICARE Online:https://www.Tricareonline.com//prelogin/mobileindex.xhtml It is located at 17595 Cartwright Rd, Irvine, California 92614. 12. The practitioner's primary taxonomy code is 332B00000X with license number 28042 (TX). Upon receipt of a claim for payment, the Medicare contractor issues a notice of "initial determination" indicating whether there is coverage, and, if so, the amount deemed owing. Each was sworn according to law. That LCD sets forth the required documentation for the surgical dressings it covers and states: The parties agree that the LCDs are substantially identical. Michigan City, Inc. v. Thompson, 292 F.3d 820, 826 (D.C. Cir. The telephone number associated with the location address of the provider being identified. View More Our Benefits. A.R.000569; 000571. question must be answered. ] 405(b)," before an administrative law judge ("ALJ"). The date that a record was last updated or changed. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Statlab Medical Products, Inc. was established in 1976 and is based in McKinney, Texas. 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. The Unified Business Identifier (UBI) of the entity is #604071292, the entity type is Foreign Profit Corporation and the business category is Regular Corporation. 405.1002. 1395u(b)(3)(C); 42 U.S.C. GORDIAN MEDICAL, INC. is an Active company incorporated on December 14, 2011 with the registered number F11000005007. Announcement of Periodic Review: Moody's announces completion of a periodic review of ratings of Gordian Medical, IncGlobal Credit Research - 14 Dec 2021New York, December 14, 2021 -- Moody's . Gordian encourages our employees to lead balanced, well-rounded lives. 1-2241 (4th Cir.. November 4, 2010); c.f. The City name in the mailing address of the provider being identified. 2d 1281 (W.D. Learn more TroClose 1200 Play Video News June 11, 2020, 2nd Webinar focused on, " Managing Safe Laparoscopic Port Closure Under New IFSES Guidance". Case: 22-319. 31 Mar 2022. 22-319.pdf. 1999). Determine whether Gordian Medical grew or shrank during the last recession. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System. www.amtwoundcare.com A Clinical Guide to Wound Assessment Chuck Gokoo, MD, CWS, FACCWS Chief Medical Officer American Medical Technologies 8/23/2011 2 Coyright 2011 Gordian Medical, inc. dba American Medical Technologies. A more recent docket listing Plaintiff Gordian Medical, Inc. ("Gordian") is a Medicare-enrolled wound care supplier. From providing education and in-services to assisting in survey preparation, our clinical specialists facilitate the delivery of products, care and support to facilities and patients. 13. Each was sworn according to law. Beneficiary E.P. NOTE: ZIP code plus 4-digit extension, if available. All rights reserved. StatLab offers 1,750 of the most commonly purchased diagnostic supplies used by independent and hospital-based anatomic pathology laboratories. In fact, four of the seven ALJ decisions Gordian submitted declined to follow the applicable LCD and are therefore not precedential by regulation. Cressey & Company has offices in Chicago, Illinois and Nashville, Tennessee. Gordian Medical V, Inc supplies medicare equipments and products such as . A.R.000575, 000577. Click to reveal Plaintiff, v. KATHLEEN SEBELIUS, Secretary of Health &Human Services, Defendant. The legal entity must obtain an NPI. 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. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. 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. See Maximum Comfort, Inc. v. Sec'y of HHS, 512 F.3d 1081, 1086-88 (9th Cir. 1979); Short Haul Survival Comm. RestorixHealth focuses on establishing in-hospital centers of excellence to treat the growing incidence of severe grade diabetic wounds of the lower extremities and wounds that are unresponsive to general wound care treatments. To access the 24/7 Nurse Advice Line (NAL) from a German contracted cell phone in Europe you must first call the clinic appointment line and Press 2 in the main menu to be connected to the NAL toll free. When contractor quotes come in, how can you be sure youre getting a fair price? ASSIGNMENTS: SFC Anderson assignments and leadership duties includes, Operations NCOIC MEDDAC Bavaria, Charley Company 1SG, 204th MI BN, Fort Bliss TX, FAD LT NCOIC in support of Task Force Argus in Lithuania (EUCOM), 204th MI BN, Fort Bliss TX; Senior Medical NCO, NCOIC of Primary Care in Army Health Clinic Stuttgart Germany, MEDDAC Bavaria, NCOIC of Kelley Annex Clinic Serving AFRICOM in Kelley Barracks Stuttgart, Chief of Managed Care overseeing TRICARE operations in Stuttgart, Health Care Sergeant in HHC, 3 BSTB, 82ND ABN Division, Fort Bragg, NC. 42 U.S.C. The Secretary has broad discretion to determine what documentation is required to establish medical necessity. Gordian timely requested ALJ Hearings on both sets of claims pursuant to 42 C.F.R. For emergencies, go to the nearest hospital or call 112 for an ambulance. Hospitals and healthcare facilities are tricky places to complete construction, repairs and renovations. Deference is all the more warranted where, as here, the question of interpretation arises under a "complex and highly technical regulatory program," in which even "the identification and classification of relevant criteria necessarily require significant expertise, and entail the exercise of judgment grounded in policy concerns." Report a concern or acknowledge a staff member . 42 U.S.C. The action you just performed triggered the security solution. Judge: Magistrate Judge Sherry R. Fallon. Some documents are presented in Portable Document Format (PDF). 1395-1395ggg, pays for medical care provided to eligible aged and disabled persons. 19. A Medicare contractor may issue a "local coverage determination" ("LCD"), which is the contractor's determination as to whether a particular item or service is covered within the contractor's own limited jurisdiction. The provider is registered as an organization and their NPI record . JOANN was founded in 1943 and is based in Hudson, Ohio. #13 . Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Davis Hospital and Medical Center Hospitals and Health Care Layton, UT Beneficiary M.N. 14. 2, at 30-31. In two separate decisions, M-10-191 and M-10-198, dated June 8, 2010 and June 11, 2010, the Appeals Council denied Gordian's claims in both administrative cases. www.amtwoundcare.com Mix and Match: The U.S. Food and Drug Administration (FDA) also amended the emergency use authorization (EUA)for COVID-19 vaccines to allow mixing and matching of any of the available COVID-19 vaccines when used as a booster regardless of original vaccine administered. P. Rply. 1978); Angel v. Butz, 487 F.2d 260, 263 (10th Cir. Gordian received a "Partially Favorable" decision for 48.9% of the total claims at issue in the case. 42 U.S.C. Sam Muppalla, chief executive of AMT, will serve as president of the Durable Medical Equipment division of the combined company. Case Details Parties Documents Dockets. Willis Insurance Services of Georgia, Inc., 515 F.Supp.3d 374, 382 (D.S.C. Gordian received a "Partially Favorable" decision for 36.4% of the total claims at issue in the case. The enumeration date of this NPI Number is 05/17/2007. 4, p. 276-79; Ex. The ALJ's decision, in turn, may be reviewed by the Appeals Council of the Departmental Appeals Board. Gordian Medical, Inc. et al v. Vaughn et al. 17595 CARTWRIGHT ROAD SFC Anderson grew up in Germany, migrated to the United States of America in 2008, and joined the service in February 2010. Michael D. Watson, AMT's Vice President of Governmental Affairs, and Dr. Charles Gokoo, Chief Medical Officer for Gordian, participated at the hearing telephonically. 9, 2012). Code describing the type of health care provider that is being assigned an NPI. Gordian Medical Inc is a medicare enrolled Durable Medical Equipment & Medical Supplies Supplier in Irvine, California. We dedicate so much time and care into RSMeans data for one reason: to give you peace of mind. CMS acts through private fiscal agents called Medicare Administrative Contractors to administer Medicare Part B. New York, March 08, 2021 -- Moody's Investors Service, ("Moody's") assigned a B2 Corporate Family Rating (CFR) and a B2-PD Probability of Default (PDR) Rating to Gordian Medical, Inc. ("Gordian" dba AMT). Our company index contains hundreds of thousands of businesses. 1395ff(b)(1)(a) for judicial review of a final decision by Kathleen Sebelius, Secretary of Health and Human Services (the "Secretary") came on regularly for trial on November 8, 2011. Try For Free Cressey & Company LP is a specialist private equity investment firm focused on buy-and-build opportunities in the healthcare sector. You can reach out to the office of Gordian Medical V, Inc via phone at (832) 365-5117. With TroClose, Gordian Surgical has advanced surgical port access-wound closure for laparoscopic surgeries. The contact numbers associated with the mailing address are: The authorized official registered with the 1013124213 NPI Number is STEVEN MCLAUGHLIN. Gordian Medical was founded in 1994 and is based in Irvine, California. : 8:12 -bk -12339 -MW CHAPTER 11 MEMORANDUM DECISION AND ORDER Samuel R. Maizel, Esq., Pachulski Stang Ziehl & Jones LLP, for Gordian Medical, Inc. David J. Warner, Esq., Special Assistant United States Attorney, for the United States of America . (rjb). METAIRIE (smg), Pro Hac Vice Attorney David E Rothstein for Misty Vaughn added for electronic noticing. 405.940. New York, March 31, 2022 -- Moody's Investors Service, ("Moody's") downgraded Gordian Medical, Inc.'s ("Gordian") Corporate Family Rating (CFR) to B3 from B2 and the Probability of Default Rating (PDR) to B3-PD from B2-PD. 17595 CARTWRIGHT ROAD Research the case of Vaughn v. Gordian Medical Inc, from the D. South Carolina, 03-20-2023. 2023) Court Description: OPINION and ORDER granting 6 Motion to Transfer Venue. Represented by: Andrew S Hollins, Ropers Majeski Kohn and Bentley Stanley C Morris, Corrigan and Morris LLP Alexander Janvelian, Ropers Majeski PC Brian Thomas Corrigan,. 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. The postal ZIP or zone code in the location address of the provider being identified. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (855) 392-9268 The entity was incorporated on December 30, 2016 in Texas, expiring on December 31, 2022. Two important coverage limitations apply to the coverage of all Medicare items or services, including the services at issue in this case. The country code in the location address of the provider being identified. If these criteria are satisfied, the contractor reimburses the Medicare supplier from the Medicare Trust Fund based upon an assignment of benefits executed by the beneficiary. 68 Fed. The case status is Pending - Other Pending. 411.15(a)-(j). Some of Robert Rippl's colleagues are Ray Frame, Thomas Capote, Dima Hilal, Russ Ahlberg, Gary Johnson. We offer an excellent benefits package including medical, dental, vision, life and disability insurance, HSA options and a 401 (k) retirement plan. A PDF reader is required for viewing. The 10-position telephone number of the authorized official. The 1013124213 NPI number is assigned to the healthcare provider GORDIAN MEDICAL, INC., practice location address at 17595 CARTWRIGHT ROAD IRVINE, CA, 92614-5847. A.R.000567; 000571; 000577. Not all contractors are equipped to work in those conditions. Additional benefits include: 1395k(a)(1), 1395m(j)(5), 1395x(s)(1), (2)(A), (6), (8), & (9), 42 C.F.R. Gordian Medical, Inc. , dba American Medical Technologies Debtor(s). Diplomat Lakewood, Inc. v. Harris, 613 F.2d 1009 (D.C. Cir. Your constant and paramount concern is patient care. RestorixHealth is a provider of comprehensive wound care treatment centers that offer advanced wound care modalities as well as hyperbaric oxygen therapy (HBOt). Our clinical specialists are licensed health care providers with expertise in long term care programs. This data element may contain the same information as ''Provider location address fax number''. Part 410 (scope of Part B benefits). 42 C.F.R. A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time. 8. Gordian submitted two sets of claims to Medicare for reimbursement of surgical dressings furnished to the Beneficiaries. Next, if the claimant is dissatisfied with the contractor's redetermination, a "reconsideration" may be requested by a "qualified independent contractor" ("QIC"). 16. UNITED STATES DISTRICT COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA WESTERN DIVISION. Fax: 877-380-8282. RestorixHealth delivers advanced wound healing services, education and supplies which improve patient outcomes across the care continuum. Leonard Green will consider investments in consumer and business services, consumer products, distribution, media, and retail. This data element may contain the same information as ''Provider location address City name''. NHIC, Corp., the Medicare contractor, reviewed the claims and issued unfavorable redeterminations. View More. Direct dialing from a German contracted cell phone (0800-071-3516) to the toll free NAL number is now available in Europe via LANDLINE ONLY. Date: 04/13/2023. 1395u(b)(3)(B); 42 C.F.R. See also 42 U.S.C. The Part B payment for covered DME is 80 percent of the lesser of the actual charge for the item or the payment amount determined by the fee schedule payment methodology for DME with certain adjustments. of Bariatric & Metabolic Surgery, at Kirloskar and Virinchi hospitals, Hyderabad, Visiting Prof. of Surgery, at KLE University. 405.801 et seq. Founded in 1994, AMT is a leading advanced wound care company that delivers comprehensive wound care, ostomy, urological, and tracheostomy programs to health care providers in the long-term care. Dental Services Group was founded in 1989 and is based in St. Petersburg, Florida. University Medical Center - HIM Department Attention: Release of Information 2000 Canal Street New Orleans, La. 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 . Dr. Ugale, is the Director, Dept. Reviewed by the Appeals Council of the provider being identified Medical Center hospitals Health. Law judge ( `` gordian '' ) at KLE University furnished to Office. 405 ( b ), '' before an administrative law judge ( `` gordian )... Hac Vice Attorney David E Rothstein for Misty Vaughn added for electronic noticing distinct `` Levels '' provider. 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Pays for Medical care provided to eligible aged and disabled persons on both sets of claims to Medicare reimbursement. Recent docket listing Plaintiff gordian Medical Inc is a Medicare-enrolled wound care.! Not all Contractors are equipped to work in those conditions Portable Document Format ( PDF ) F11000005007. Pays for Medical care provided to eligible aged and disabled persons ORDER granting 6 Motion to Transfer Venue:... Smg ), a component of theMilitary Health System in der Oberpfalz the case of Vaughn v. gordian Medical,...