Content created by Office of Medicare Hearings and Appeals (OMHA)
| Appeals | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|---|---|---|---|---|
| Favorable | 36.6% | 33.6% | 25.6% | 17.2% | 17.3% | 17.7% | 16.6% | 19.9% | 28.0% | 28.9% |
| Partially Favorable | 2.8% | 3.1% | 2.0% | 1.0% | 1.1% | 1.9% | 2.0% | 2.2% | 3.0% | 2.6% |
| Unfavorable | 30.1% | 37.5% | 44.5% | 24.8% | 20.9% | 26.1% | 31.0% | 31.0% | 42.5% | 50.4% |
| Dismissed | 30.5% | 25.8% | 27.9% | 57.0% | 60.7% | 54.3% | 50.5% | 46.9% | 26.5% | 18.1% |
| Claims | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|---|---|---|---|---|
| Favorable | 28.3% | 18.3% | 7.6% | 11.2% | 10.3% | 9.7% | 7.0% | 9.7% | 12.9% | 12.5% |
| Partially Favorable | 11.5% | 6.2% | 4.1% | 4.1% | 10.8% | 10.6% | 25.0% | 10.3% | 20.3% | 14.8% |
| Unfavorable | 31.5% | 23.2% | 13.2% | 18.2% | 10.9% | 14.1% | 13.8% | 19.4% | 29.6% | 44.2% |
| Dismissed | 28.7% | 52.2% | 75.1% | 66.5% | 68.0% | 65.6% | 54.2% | 60.6% | 37.2% | 28.5% |
**FY23 YTD as of June 30, 2023
Run Date: September 13, 2023