Medicare Appeals Summary

Question 1

1. Redetermination

Answer 1

Filed with the MAC according to their instructions. Can be online or in writing

Question 2

2. Reconsideration

Answer 2

Filed with the QIC in writing

Question 3

3. Disposition by the Office of Medicare Hearing and Appeals (OMHA)

Answer 3

Filed with HHS OMHA by telephone or video teleconference. In some cases, can be in person

Question 4

4. Review by the Medicare Appeals Council (Council)

Answer 4

Filed with the council in writing

Question 5

5. Judicial review in US District Court

Answer 5

Filed in a district court according to the details provided by the Council’s response