Legal Opinion
International Rehabilitative Sciences Inc. v. Sebelius
Court of Appeals for the Ninth Circuit
Decided July 30, 2012No. 17-1053PublishedCited by 30 opinions
1Opinion of the Court
OPINION
SILVERMAN, Circuit Judge:
The Department of Health and Human Services, the agency that administers Medicare, denied Medicare coverage for the BIO-1000, a piece of durable medical equipment used to treat osteoarthritis of the knee. In four decisions, the Medicare Appeals Council, which is the highest level of agency adjudication, ruled that the BIO-1000 had not been shown to be “reasonable and necessary” for the treatment at issue. The supplier of the device challenges those decisions as arbitrary, capricious, and not supported by substantial evidence.
Today we join the Fourth Circuit in…
2Cases cited11 opinions
- Lopez v. SmithCourt of Appeals for the Ninth Circuit · 2000
- Raymond E. ANDREWS, Plaintiff-Appellant, v. Donna E. SHALALA, Secretary of Health and Human Services, Defendant-AppelleeCourt of Appeals for the Ninth Circuit · 1995
- Heckler v. RingerSupreme Court of the United States · 1984
- Sandgathe v. ChaterCourt of Appeals for the Ninth Circuit · 1997
- Riegel v. Medtronic, Inc.Supreme Court of the United States · 2008
6 more not listed; retrieve them via the Exa API.
3Cited by30 opinions
- Marguerite Hiken v. Department of DefenseCourt of Appeals for the Ninth Circuit · 2016
- United States ex rel. Modglin v. DJO Global Inc.District Court, C.D. California · 2014
- Haro v. SebeliusCourt of Appeals for the Ninth Circuit · 2013
- United States Ex Rel. Nargol v. Depuy Orthopaedics, Inc.Court of Appeals for the First Circuit · 2017
- United States ex rel. Modglin v. DJO Global Inc.District Court, C.D. California · 2015
25 more not listed; retrieve them via the Exa API.