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Fourth Level of Appeal: Review by the Medicare Appeals Council

If a party to the Administrative Law Judge (ALJ) hearing is dissatisfied with the ALJ's decision, the party may request a review by the Medicare Appeals Council. There are no requirements regarding the amount of money in controversy. The request for Medicare Appeals Council review must be submitted in writing within 60 days of receipt of the ALJ's decision, and must specify the issues and findings that are being contested. 

Filing a Request for Medicare Appeals Council Review 

Refer to the ALJ decision for details regarding the procedures to follow when filing a request for Medicare Appeals Council review.

Generally, the Medicare Appeals Council will issue a decision within 90 days of receipt of a request for review. That timeframe may be extended for various reasons, including but not limited to, the case being escalated from the ALJ level.


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Review by the Medicare Appeals Council

 

Page Last Modified: 10/14/2008 2:00:17 PM
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