A rural hospital incorrectly coded a patient’s diagnosis and treatment plan when making a Medicaid claim, which the Department of Community Health (DCH) alleged resulted in an overpayment of $5,494.83. Although the hospital argued that the treatment plans for the correct code and the submitted code were identical, the Court ultimately affirmed DCH’s recoupment of […]
A 14-year-old student and her mother alleged that the student’s school district violated the Individuals with Disabilities Education Act (IDEA) with respect to the student’s identification, evaluation, and educational placement, as well as by denying her a free appropriate public education (FAPE). The Court granted a motion for involuntary dismissal on all but two claims.
A Medicaid provider requested a hearing to contest an alleged $13,000 overpayment it received for two separate hospital admissions for the same patient. Pursuant to Georgia Medicaid policy, the Department of Community Health (DCH) prices two admissions of the same patient as one for “similar or related conditions” that occur within three days of each
A 7-year-old student and his mother were unsuccessful in seeking relief under the Individuals with Disabilities Education Act (IDEA). The Court granted the school district’s motion for involuntary dismissal on most of the claims raised, but it reviewed on the merits the mother’s objection to her son being placed in a more restrictive special education
Student’s behavioral history demonstrates necessity for more restrictive placement Read More
A driver appealing his DUI license suspension argued that the arresting officer improperly read the implied consent notice prior to arresting him. The only instance in which this is permissible is when the officer is aware that the arrestee suffered a “serious injury” from a traffic accident. In this instance, there was no evidence that
The Petitioner in this case had her TANF benefits terminated because she failed to cooperate with the child support eligibility and enforcement process, as is required. Upon complying and reapplying, the Petitioner was denied again because she did not return the TANF Family Service Plan form, another requirement for recipients. The Court affirmed both the
TANF termination upheld due to failure to cooperate with child support enforcement Read More
