§ 405.1100 Medicare Appeals Council review: General
§ 405.1102 Request for Council review when ALJ or attorney adjudicator issues decision or dismissal
§ 405.1106 Where a request for review or escalation may be filed
§ 405.1108 Council actions when request for review or escalation is filed
§ 405.1110 Council reviews on its own motion
§ 405.1112 Content of request for review
§ 405.1114 Dismissal of request for review
§ 405.1116 Effect of dismissal of request for Council review or request for hearing
§ 405.1118 Obtaining evidence from the Council
§ 405.1120 Filing briefs with the Council
§ 405.1122 What evidence may be submitted to the Council
§ 405.1124 Oral argument
§ 405.1126 Case remanded by the Council
§ 405.1128 Action of the Council
§ 405.1130 Effect of the Council’s decision
§ 405.1132 Request for escalation to Federal court
§ 405.1134 Extension of time to file action in Federal district court
§ 405.1136 Judicial review
§ 405.1138 Case remanded by a Federal district court
§ 405.1140 Council review of ALJ decision in a case remanded by a Federal district court

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 405 > Subpart I > Medicare Appeals Council Review

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
  • Donor: The person who makes a gift.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Oral argument: An opportunity for lawyers to summarize their position before the court and also to answer the judges' questions.
  • Plaintiff: The person who files the complaint in a civil lawsuit.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Remand: When an appellate court sends a case back to a lower court for further proceedings.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.
  • Subpoena: A command to a witness to appear and give testimony.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Trustee: A person or institution holding and administering property in trust.