Medicare Appeals Council Decisions

Decisions of the Departmental Appeals Board's Medicare Appeals Council involving claims for entitlement to Medicare and individual claims for Medicare coverage and payment filed by beneficiaries or health care providers/suppliers.

Data and Resources

Field Value
accessLevel public
bureauCode {009:00}
catalog_@context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
catalog_@id https://healthdata.gov/data.json
catalog_conformsTo https://project-open-data.cio.gov/v1.1/schema
catalog_describedBy https://project-open-data.cio.gov/v1.1/schema/catalog.json
dataQuality true
describedBy http://www.hhs.gov/dab/divisions/medicareoperations/macdecisions/mac_decisions.html#overpayment_claims
identifier 22ed0b95-e0da-4838-88bf-4e37c931b3f3
issued 2012-05-30
landingPage https://healthdata.gov/dataset/medicare-appeals-council-decisions
license https://opendatacommons.org/licenses/odbl/1.0/
modified 2023-07-25
programCode {009:078}
publisher Department of Health & Human Services
resource-type Dataset
source_datajson_identifier true
source_hash 9684a8277bdc5e7742e12504df7d0402ed1103e9c9a4a1db125b269489071ecd
source_schema_version 1.1
temporal 2003-06-11T00:00:00-04:00/2003-06-11T00:00:00-04:00
theme {Health,Medicare,Hospital}
Groups
  • AmeriGEOSS
  • National Provider
  • North America
Tags
  • AmeriGEO
  • AmeriGEOSS
  • CKAN
  • GEO
  • GEOSS
  • National
  • North America
  • United States
  • administrative
  • adopt
  • affirm
  • alj
  • ambulance
  • appeal
  • appropriate
  • approval
  • beneficiary
  • benefit
  • billing
  • bipa
  • charge
  • claim
  • cmp
  • cms
  • code
  • collect
  • contractor
  • coverage
  • dab
  • decision
  • determination
  • device
  • disallow
  • dismiss
  • doctor
  • drug
  • emergency
  • enrollee
  • enrollment
  • entitlement
  • fee
  • health-care
  • hearing
  • hmo
  • home-health
  • hospice
  • hospital
  • insurance
  • irmaa
  • judge
  • law
  • lcd
  • mac
  • medical-equipment
  • medically-necessary
  • medicare
  • modify
  • ncd
  • nursing-facility
  • nursing-home
  • omha
  • part-a
  • part-b
  • part-c
  • part-d
  • participation
  • patient
  • payment
  • physician
  • plan
  • prescription
  • procedure
  • provider
  • qic
  • reasonable
  • recipient
  • reimbursement
  • repay
  • review
  • schip
  • service
  • ssa
  • stabilization
  • supplier
  • surgery
isopen False
license_id other-license-specified
license_title other-license-specified
maintainer admin
maintainer_email HealthData@hhs.gov
metadata_created 2025-09-23T19:47:44.246807
metadata_modified 2025-09-23T19:47:44.246813
notes <p>Decisions of the Departmental Appeals Board's Medicare Appeals Council involving claims for entitlement to Medicare and individual claims for Medicare coverage and payment filed by beneficiaries or health care providers/suppliers.</p>
num_resources 1
num_tags 85
title Medicare Appeals Council Decisions