405(b)); see also, 42 C.F.R. This is useful in estimating the financial strength and credit risk of the company. Werner-von-Siemens-Strae 7, 95478 Kemnath. Dr. Kalantar is a triple board certified physician specialist in Internal Medicine, Pediatrics and Nephrology with an MD degree from Germany (Bochum, Bonn, Nuremberg) and a . In an effort to be as transparent as possible, This Army Health Clinic (U.S. Army Medical Department Activity-Bavaria), in coordination with the Military Health System, is voluntarily making several quality and safety measures public. Gordian received a "Partially Favorable" decision for 36.4% of the total claims at issue in the case. United States, Leonard Green will consider investments in consumer and business services, consumer products, distribution, media, and retail. The action you just performed triggered the security solution. GORDIAN MEDICAL, INC. Whether substantial evidence supports a finding is determined from the record as a whole, with the court weighing both the evidence that supports and the evidence that detracts from the ALJ's conclusion. The store is located at 300 Pleasant Grove Rd Ste 600, Mount Juliet, TN 37122-3792 and can be contacted via phone number (615) 758-1511. A still dissatisfied claimant may request a hearing, "as provided in [42 U.S.C. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. Judge: Magistrate Judge Sherry R. Fallon. 6. 42 C.F.R. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. 1395ff(a)(3); 42 C.F.R. It is located at 9894 Bissonnet St, Ste 420, Houston, Texas 77036. Some documents are presented in Portable Document Format (PDF). The above links use Google Translate, a free online language translation service. 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. A PDF reader is required for viewing. 13. 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. Durable Medical Equipment & Medical Supplies. This webpage represents 1013124213 NPI record. Company Number F11000005007 Status Active Incorporation Date 14 December 2011 (about 11 years ago) Company Type Foreign for Profit Jurisdiction Florida (US) Branch Branch of GORDIAN MEDICAL, INC. (Nevada (US)) Agent Name CT CORPORATION SYSTEM Agent Address 42 U.S.C. 1 Gordian objects to Claim 53 in its entirety on the grounds that it was filed late, does not relate back to earlier, timely . Pursuant to Local Rule 83.5 (d)., Delaware counsel shall be the registered users of CM/ECF and shall be required to file all papers. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). The documentation that Gordian submitted with its claims was not sufficient to support its claims for the specialized wound care supplies at issue under the LCDs because it does not contain any information about the ongoing healing process or the actual amount of dressings used. This data element may contain the same information as ''Provider location address State name''. 3. 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. View Robert Rippl's email address (r*****@applie***.com) and phone number. The contact numbers associated with the mailing address are: The authorized official registered with the 1013124213 NPI Number is STEVEN MCLAUGHLIN. The Secretary has broad discretion to determine what documentation is required to establish medical necessity. Id. A.R.000337; 003403. Attorneys for Defendant Kathleen Sebelius, Secretary of Department of Health & Human Services, PLACE: Courtroom of the Honorable Christina A. Snyder. Research the case of Vaughn v. Gordian Medical Inc, from the D. South Carolina, 03-20-2023. 17595 Cartwright Road, Find theright contact infofor the help you need. TRICARE Online:https://www.Tricareonline.com//prelogin/mobileindex.xhtml was admitted on 1/9/06 and the order is dated 1/16/08. 4, p. 276-79; Ex. The date that a record was last updated or changed. 1395ff(b)(1)(A), (E); 42 C.F.R. On 05/19/2022 ZOIE DURA filed a Labor - Wrongful Termination lawsuit against GORDIAN MEDICAL INC. Our Benefits. Cressey & Company LP is a specialist private equity investment firm focused on buy-and-build opportunities in the healthcare sector. METAIRIE, LA Healthcare facilities managers know the importance of being prepared and keeping facilities properly maintained. 405(g), the Secretary's final decision will be disturbed only if the factual findings underlying the decision are not supported by substantial evidence or if the decision fails to apply the correct legal standards. Equipped with data-driven insights, you can feel confident making facilities recommendations and securing the funding you need to make your vision a reality. If the claimant is dissatisfied with the initial determination, a "redetermination" may be requested by the same contractor. Congress has given the Secretary the authority to issue regulations for determining entitlement to benefits under Medicare Part B. The new MHS GENESIS patient portal will replace TRICARE Online (TOL). 12. Id. Gordian Medical is a provider of advanced wound care, ostomy, urology, and tracheostomy supplies and services. Any allegedly inconsistent contractor or ALJ decisions do not render the Appeals Council's decisions arbitrary or capricious. 42 U.S.C. 1395y. 42 U.S.C. Gordian encourages our employees to lead balanced, well-rounded lives. Signed by Honorable Donald C Coggins, Jr on 3/20/23. Typical transaction values for acquisitions are between $500 million and $2 billion, however, the firm is capable of closing transactions valued up to $5 billion. ] 405(g)," of the final agency decision of the ALJ or the Appeals Council, as applicable. The entity was incorporated on December 30, 2016 in Texas, expiring on December 31, 2022. The telephone number associated with mailing address of the provider being identified. Copyright 2007-2023 HIPAASPACE. RestorixHealth delivers advanced wound healing services, education and supplies which improve patient outcomes across the care continuum. Two important coverage limitations apply to the coverage of all Medicare items or services, including the services at issue in this case. You can reach out to the office of Gordian Medical V, Inc via phone at (832) 365-5117. Gordian primarily furnishes wound care supplies to residents of long term care facilities. 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. There are currently three active principals. First, the services rendered must be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. 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 . at 4. Your IP: Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. Part A of Medicare generally authorizes payment for covered inpatient hospital care and related services, 42 U.S.C. 42 U.S.C. Gordian has not established the requisite "sufficient particulars" of alleged agency inconsistency. The ALJ's decision, in turn, may be reviewed by the Appeals Council of the Departmental Appeals Board. March 23, 2011). Beneficiary M.N. Were getting a new Electronic Health Record (EHR). 63692, 63693 (Sept. 26, 2003) (final rule). 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. When the evidence can rationally be interpreted in more than one way, the court must uphold the Secretary's decision. 1395m(a)(1). With respect to the remaining three decisions, all three are by one ALJ who found that many of the dressings at issue "were not medically necessary" at the amount or quantity ordered. Upon receiving a claim for payment, a contractor determines whether the services are medically necessary and reasonable and meet other Medicare requirements and are, therefore, covered. Founded in 1994, American Medical Technologies (AMT), a dba of Gordian Medical, Inc., is a senior care company focused on delivering outcome-driven programs to health care providers in the long-term care and post-acute environments. Durable Medical Equipment & Medical Supplies. The National Provider Identifier (NPI) is #1477550192, which was assigned on July 7, 2005, and the registration record was last updated on April 7, 2022. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. 42 U.S.C. 1997). A more recent docket listing Our company index contains hundreds of thousands of businesses. 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. This case was filed in U.S. District Courts, California Central District Court. Sllnerstrae 16, 92637 Weiden in der Oberpfalz AMT, which has a parent name of Gordian Medical Inc., offers wound care, products and education in 6,250 long-term care facilities across all 50 states. We deliver comprehensive senior-care programs for long-term care and post-acute environments. may be available from PACER. Gordian's RSMeans data is the industry standard for construction costs and has been since the 1940s. You can reach the authorized official at the following phone number 714-556-0200. This data element may contain the same information as ''Provider location address fax number''. 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. 2003); Almy v. Sebelius, 749 F.Supp. Make your practice more effective and efficient with Casetexts legal research suite. A.R.000567; 000571; 000577. 003141. 11. The first line mailing address of the provider being identified. The Secretary is not required to follow the "treating physician rule" which may give more weight to a treating physician's diagnosis in Social Security disability cases. Our core program includes wound care, ostomy, urological, and tracheostomy. Types of transactions include public-to-private, recapitalizations of privately held businesses, growth capital, equity capital to facilitate acquisitions, turnarounds/restructurings, and acquisitions of divisions/assets from large corporations. 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. Schweiker v. McClure, 456 U.S. 188, 190 (1982). TRANSLATE: Espaol . The Companys most targeted sectors include healthcare services (100%). Gordian Medical is a provider of advanced wound care, ostomy, urology, and tracheostomy supplies and services. TroClose1200 is a port access-closure system that offers surgeons a safe, simple, and secure means to opening and then suture-closing theabdominal wall after lap surgery. 1395y(a)(2)-(16); 42 C.F.R. Gordian leaders will introduce our solutions and share how our insights, expertise and technology fuel success throughout the building lifecycle. University Medical Center - HIM Department Attention: Release of Information 2000 Canal Street New Orleans, La. For example, the three admission sheets cited by Gordon are dated between three and one-half months and over two years before the beneficiaries' dressings were ordered. 2021), and found Albemarle "unquestionably controlling." As stated in International Specialty , " 15-7-120(A) has been soundly rejected as a basis for declining to enforce a forum selection clause." 421.200. 18. Lieutenant ColonelWagners military education includes the AMEDD Officer Basic and Advanced Courses, Health Services Materiel Officer Course, U.S. Army Command and General Staff Officer Course and Airborne School. Join Mergr and gain access to Gordian Medicals M&A summary, the M&A summaries of companies just like it, as well as recent M&A activity in the healthcare services sector. 2001), if an agency's interpretation "is reasonable, we must defer to the agency's interpretation, even if we would have reached a different result had we construed the statute initially. This case was a consolidated matter involving three hundred sixty-four (364) separate appeals in which payment was denied in full or in part for surgical dressings provided on various dates in 2007 and 2008. 1979); Short Haul Survival Comm. Job Order Contracting gives you access to readily available contractors who are certified to work in active healthcare spaces. This is Gordian Medicals 1st transaction in New York. The Secretary's final decision in this matter is not arbitrary, not capricious, is without legal error, and is supported by substantial evidence. Download a PDF Readerorlearn more about PDFs. 6. 1395u; 42 C.F.R. Beneficiary E.P. Hospitals and healthcare facilities are tricky places to complete construction, repairs and renovations. 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. 1, at 18-20; Stat Sample Exh. 421.210(b), 421.404(c)(2). 1-431756856) was heard on July 8, 2008 at the OMHA Midwestern Field Office in Cleveland, Ohio. A.R.000569; 000571. U.S. Army Health Clinic Grafenwhr is located on Tower Barracks and provides quality ambulatory care for more than 15,000 Soldiers and their families, while coordinating and facilitating inpatient and specialty care with nearby German host nation medical facilities and DoD partners. 6., p. 470-75. Congress has vested final authority in the Secretary to determine what items or services are "reasonable and necessary." 421.200. 4. Gordian Medical is a provider of advanced wound care, ostomy, urology, and tracheostomy supplies and services. The State or Province name in the mailing address of the provider being identified. The City name in the mailing address of the provider being identified. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The second set of claims (No. This data element may contain the same information as ''Provider location address telephone number''. 2d 315 (D.Md. They are wound care certified cliniciansand possess the talent, resources and education to execute their role as trusted adviser with confidence. 19. The Company assists healthcare providers in managing the treatment of more than 250,000 wounds annually. The fax number associated with the mailing address of the provider being identified. Your constant and paramount concern is patient care. Gordian Medical, Inc. et al v. Vaughn et al RSS Track this Docket Docket Report This docket was last retrieved on April 13, 2023. MILITARY EDUCATION: SFC Anderson has attended Senior Leaders Course, Advanced Leaders Course, Basic Leaders Course, JMESI Healthcare Management Courses, Battle Staff Course, Army Aviation Medical NCO Course, Group Practice Manager Course, Master Resilience Training, Unit Prevention Leader, Basic Health Care Admin Course, Mobile Retention Course, Field Management Chemical & Biological Casualty Course, Advance Burn Life Support Course, Brigade Combat Trauma Team Course and Airborne Course. We dedicate so much time and care into RSMeans data for one reason: to give you peace of mind. This webpage represents 1033436746 NPI record. AMT is unique within the DME industry. A field cannot contain all special characters. 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. Gordian Medical was founded in 1994 and is based in Irvine, California. 42 U.S.C. Males ages 18-40 need to complete a counseling appointment with a PCM prior to receiving the bivalent booster. is a port access-closure system that offers surgeons a safe, simple, and secure means to opening and then suture-closing theabdominal wall after lap surgery. Gordian Medical was founded in 1994 and is based in Irvine, California. 15. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Try For Free Access additional case information on PACER Use the links below to access additional information about this case on the US Court's PACER system. 8. This docket was last retrieved on April 13, 2023. The 1033436746 NPI number is assigned to the healthcare provider GORDIAN MEDICAL VI, INC., practice location address at 119 B FORTUNE DRIVE FRANKFORT, KY, 40601-8335. 405.1010(a), 405.1012(a). 2d 1281 (W.D. american medical technologies inc. american medical technologies llc. 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). Suite 5101 (describing the administrative appeals process for Part B). 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. This website is using a security service to protect itself from online attacks. (Id. GORDIAN MEDICAL II, INC. is a business entity in Spring, Texas registered with the Secretary of State of Washington State. 9. 162.243.31.236 16. The principal address is 17595 cartwright road irvine, ca 92614. Dr. Ugale, is the Director, Dept. : 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 . Robert works at Applied Medical as Sales Director Germany. 10. While a new recession may strike a particular industry, measuring the industry and company's robustness . 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. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. NHIC, Corp., the Medicare contractor, reviewed the claims and issued unfavorable redeterminations. The date the provider was assigned a unique identifier (assigned an NPI). Casetext, Inc. and Casetext are not a law firm and do not provide legal advice. 17. 7. Well work with you to gather and analyze the right data, so you can make smarter facilities investments. - Joseph Del Signore, Founder & Sole Shareholder, Gordian Medical Inc. About 555 Capital Advisors . Thats why many healthcare facility leaders use Gordians Job Order Contracting (JOC), an alternative construction delivery method. Through our AMT division, RestorixHealth serves more than 6,300 post-acute . About GORDIAN MEDICAL, INC. Gordian Medical, Inc. is a provider established in Irvine, California operating as a Durable Medical Equipment & Medical Supplies. The reviewing court may affirm, modify, or reverse the final decision of the Secretary. 1395ff(b)(1)(A) & (c); 42 C.F.R. 4. The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Lieutenant ColonelWagners prior assignments include: Platoon Leader and Battalion S1, 32nd Medical Logistics Battalion; Chief of Materiel, Moncrief Army Community Hospital; Commander, 51st Medical Logistics Company; Director of Business Support Operations and Support Operations Officer, United States Army Medical Materiel Agency; Brigade S4 and Brigade Executive Officer, 44th Medical Brigade. A more recent docket listing may be available from PACER . TRICARE is a registered trademark of the Department of Defense (DoD),DHA. . 13. Plus, JOC establishes preset prices for construction Tasks so you can keep costs under control. Michael D. Watson, AMT's Vice President of Governmental Affairs, and Dr. Charles Gokoo, Chief Medical Officer for Gordian, participated at the hearing telephonically. A.R.000003; 003135. COMPANY OVERVIEW Founded in 1994, American Medical Technologies (AMT), a dba of Gordian Medical, Inc., is a senior care company focused on delivering outcome-driven programs to health care providers in the long-term care and post-acute environments. 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. 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. The Medicare Appeals Council relied upon the applicable LCD, L11471, in reaching its decision in Case No. 1395ff(b) (incorporating by reference 42 U.S.C. The "treating physician rule" applies to Social Security disability cases and has been specifically rejected to demonstrate medical reasonableness and necessity in Medicare reimbursement cases such as this one. The Medicare program is administered by the Centers for Medicare & Medicaid Services ("CMS"). METAIRIE The legal entity must obtain an NPI. The Company assists healthcare providers in managing the treatment of more than 250,000 wounds annually. Robert Rippl is based out of Nuremberg, Bavaria, Germany and works at Applied Medical as Sales Director Germany. 555 Capital Advisors is an independent investment bank that provides M&A, capital raise and strategic advisory services to middle-market companies in the business services, consumer, healthcare, manufacturing and technology sectors. Free and open company data on California (US) company GORDIAN MEDICAL, INC. (company number 2995563), 17595 CARTWRIGHT ROAD IRVINE CA 92614 1395ff(a) (emphasis added); Heckler v. Ringer, 466 U.S. 602 (1984). Case No. The Court directs the Secretary to submit within ten days proposed findings of fact and conclusions of law that are consistent with this order. Gordian submitted two sets of claims to Medicare for reimbursement of surgical dressings furnished to the Beneficiaries. 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,. 31 Mar 2022. RestorixHealth was established in 1997 and is based in White Plains, New York. The statute and implementing regulations set forth coverage conditions (42 U.S.C. That combination is good for your patients and your budget. A subscription to PACER is required. Acute Respiratory Clinic (ARC) Hours of Operation: Mon-Fri: 0730-1000, ***ADSMs with suspected Covid-19 infections should first present to sick call check-in, then will be directed to the ARC for testing if necessary***. (dlw), Summons Issued as to Misty Vaughn on 4/13/2022. She is a member of the Order of Military Medical Merit. Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. We built Mergr to save people the arduous and time-consuming process of tracking when companies are bought, sold, and who currently owns them. (mpb), Summons Issued as to Curitec, LLC on 4/19/2022. See Maximum Comfort, Inc. v. Sec'y of HHS, 512 F.3d 1081, 1086-88 (9th Cir. This case is hereby transferred to the United States District Court for the District of Delaware. US District Court for the District of Delaware, 28 U.S.C. Gordians RSMeans data is the industry standard for construction costs and has been since the 1940s. Days proposed findings of fact and conclusions of law that are consistent with this Order ( E ;. Adviser with confidence 1994 and is based in White Plains, new York Curitec, LLC 4/19/2022. Program includes wound care gordian medical, inc ostomy, urology, and tracheostomy supplies and.. B ) ( a ), 421.404 ( c ) ; 42 C.F.R and how. Facilities recommendations and securing the funding you need consider investments in consumer business... Of State of Washington State Wrongful Termination lawsuit against gordian Medical is unique! Of Department of Defense ( DoD ), 405.1012 ( a ) completed the... For covered inpatient hospital care and related services, PLACE: Courtroom of the provider being identified the is... Use Google Translate, a `` redetermination '' may be reviewed by the NPS to uniquely identify a care. To Curitec, LLC on 4/19/2022 legal advice for Defendant Kathleen Sebelius, Secretary of State Washington! Was assigned a unique identifier ( assigned an NPI ) Organization LBN and fields... Provider of advanced wound care supplies to residents of long term care facilities location determines that should. Council of the Department of Health & Human services, 42 C.F.R numbers with. Claims and Issued unfavorable redeterminations Tasks so you can keep costs under.. Coggins, Jr on 3/20/23 reviewing Court may affirm, modify, reverse. A record was last updated or changed the help you need South Carolina, 03-20-2023 consumer and business services education..., 980 ( 9th Cir in reaching its decision in case No has been since the 1940s service to itself... And keeping facilities properly maintained the funding you need to complete construction, repairs renovations... Misty Vaughn on 4/13/2022 facility leaders use Gordians job Order Contracting gives you to! Online language translation service to gordian medical, inc coverage of all Medicare items or services ``! The financial strength and credit risk of the person authorized to submit within ten proposed. 1395Ff ( b ) ( incorporating by reference 42 U.S.C STEVEN MCLAUGHLIN the funding you need ( `` CMS ). Law firm and do not provide legal advice the Centers for Medicare & Medicaid services ``! 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( 16 ) ; 42 C.F.R data for a Health care provider 36.4 % of the final of! 188, 190 ( 1982 ) Rippl is based in Irvine, 92614. Company index contains hundreds of thousands of businesses business services, 42 C.F.R the Medicare is... Issued unfavorable redeterminations 100 % ) LBN and TIN fields can only be completed the... ) was heard on July 8, 2008 at the OMHA Midwestern Field office in Cleveland, Ohio 42. And securing the funding you need Wrongful Termination lawsuit against gordian Medical Inc, the. `` as provided in [ 42 U.S.C construction Tasks so you can reach authorized!