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.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| bureauCode |
[
"009:00"
]
|
| contactPoint |
{
"fn": "admin",
"@type": "vcard:Contact",
"hasEmail": "mailto:HealthData@hhs.gov"
}
|
| dataQuality |
true
|
| describedBy | http://www.hhs.gov/dab/divisions/medicareoperations/macdecisions/mac_decisions.html#overpayment_claims |
| description | <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> |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "Query Tool ",
"mediaType": "text/html",
"downloadURL": "http://www.hhs.gov/dab/divisions/medicareoperations/macdecisions/mac_decisions.html#overpayment_claims"
}
]
|
| identifier | 92cece16-e224-4a1d-92ae-d48f2b18bfb3 |
| issued | 2012-05-30 |
| keyword |
[
"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"
]
|
| landingPage | https://healthdata.gov/dataset/medicare-appeals-council-decisions-0 |
| license | https://opendatacommons.org/licenses/odbl/1.0/ |
| modified | 2023-07-25 |
| programCode |
[
"009:111"
]
|
| publisher |
{
"name": "Department of Health & Human Services",
"@type": "org:Organization"
}
|
| temporal | 2003-06-11T00:00:00-04:00/2003-06-11T00:00:00-04:00 |
| theme |
[
"Health",
"Hospital",
"Medicare"
]
|
| title | Medicare Appeals Council Decisions |
