3rd Circuit Affirms Judgment For Insurer, Care Home In Medicare, Civil Rights Suit

(August 22, 2024, 2:03 PM EDT) -- PHILADELPHIA — The Third Circuit U.S. Court of Appeals affirmed judgment for an insurer and a skilled nursing facility (SNF) in an estate representative’s suit stemming from the Medicare Advantage plan’s failure to cover continued skilled nursing care and the facility’s failure to document a wound that led to the amputation of the patient’s leg, agreeing with the lower court that the representative failed to exhaust all administrative remedies under Medicare and failed to show that the woman’s wound changed during her stay at the facility....