Term
| What are the five levels of appeal? |
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Definition
| 1. Redetermination by a MAC, 2. Reconsideration by a qualified independent contractor (QIC), 3. Decision by the Office of Medicare Hearings and Appeals (OMHA), 4. Review by the Medicare Appeals Council, 5. Judicial review in U.S. District Court |
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Term
| What is the first level of appeal? |
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Definition
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Term
| What is the second level of appeal? |
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Definition
| Reconsideration by a qualified independent contractor (QIC) |
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Term
| What is the third level of appeal? |
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Definition
| An ALJ hearing or Attorney Adjudicator at the Office of Medicare Hearings and Appeals (OMHA) |
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Term
| What is the fourth level of appeal? |
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Definition
| Review by the Medicare Appeals Council |
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Term
| What is the fifth level of appeal? |
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Definition
| Judicial review in U.S. District Court |
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Term
| Who performs the redetermination? |
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Definition
|
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Term
| Who performs the reconsideration? |
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Definition
| Qualified Independent Contractor (QIC) |
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|
Term
| What are the five levels of appeal? |
|
Definition
| 1. Redetermination by a MAC, 2. Reconsideration by a qualified independent contractor (QIC), 3. Decision by the Office of Medicare Hearings and Appeals (OMHA), 4. Review by the Medicare Appeals Council, 5. Judicial review in U.S. District Court |
|
|
Term
| What is the first level of appeal? |
|
Definition
|
|
Term
| What is the second level of appeal? |
|
Definition
| Reconsideration by a qualified independent contractor (QIC) |
|
|
Term
| What is the third level of appeal? |
|
Definition
| An ALJ hearing or Attorney Adjudicator at the Office of Medicare Hearings and Appeals (OMHA) |
|
|
Term
| What is the fourth level of appeal? |
|
Definition
| Review by the Medicare Appeals Council |
|
|
Term
| What is the fifth level of appeal? |
|
Definition
| Judicial review in U.S. District Court |
|
|
Term
| Who performs the redetermination? |
|
Definition
|
|
Term
| Who performs the reconsideration? |
|
Definition
| Qualified Independent Contractor (QIC) |
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