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Decision Statistics

Appeals FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Fully Favorable 53.2% 44.3% 36.6% 33.6% 25.6% 17.2% 17.3% 16.4%
Partially Favorable 6.4% 5.2% 2.8% 3.1% 2.0% 1.0% 1.1% 1.8%
Unfavorable 27.9% 25.5% 30.1% 37.5% 44.5% 24.9% 20.9% 24.9%
Dismissed 12.5% 25.0% 30.5% 25.8% 27.9% 56.9% 60.7% 56.9%
Claims FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
Fully Favorable 33.8% 35.1% 28.3% 18.4% 7.6% 11.2% 10.3% 8.7%
Partially Favorable 16.4% 11.6% 11.5% 6.2% 2.4% 3.5% 4.0% 4.5%
Unfavorable 34.1% 28.6% 31.5% 23.2% 13.2% 18.2% 10.9% 13.0%
Dismissed 15.7% 24.7% 28.7% 52.2% 76.8% 67.1% 74.8% 73.8%

*Includes appeals decided in the listed fiscal year

**Data as of June 30, 2019

***Run Date: July 6, 2019

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed on July 24, 2019