Description
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.
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| Query Tool | HTML | mac_decisions.html | Open resource |
Tags
- 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