Hospice claim denial remanded to ALJ in absence of explanation, (Aug 4, 2025)
08/17/25 at 03:25 AM
Hospice claim denial remanded to ALJ in absence of explanation, (Aug 4, 2025)
VItalLaw; by Leah S. Poniatowski, JD; 8/4/25
... A hospice provider that was denied Medicare reimbursement for two patients was granted remand to the administrative law judge (ALJ) because the ALJ’s decision was without any reasoned discussion, which impaired review and suggested that the ALJ had used her lay assessment of the medical record, the federal district court in Delaware ruled (Seasons Hospice & Palliative Care of Delaware, LLC v. Kennedy, No. 24-175-GBW-LDH (D. Del. July 31, 2025)).