Office of Medicare Hearings and Appeals

The Office of Medicare Hearings and Appeals (OMHA) is a federal agency that handles appeals related to Medicare claims. When beneficiaries or healthcare providers disagree with a decision about Medicare coverage or payments, they can request a formal review by OMHA. The agency aims to ensure fair and impartial evaluations of these disputes. Its administrative law judges review the cases, considering evidence and legal standards, ultimately making decisions that help uphold the rights of Medicare participants. OMHA plays a crucial role in maintaining trust in the Medicare system by providing an avenue for addressing grievances.