CMS UPDATES MEDICARE APPEALS THRESHOLD

Tuesday, September 27th, 2011

CMS has posted an update to “amount in controversy” for appeals

On September 23, CMS posted a notice in the Federal Register to announce the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process.

The calendar year 2012 AIC threshold amounts are $130 for ALJ hearings and $1,350 for judicial review. This will be the third straight year that ALJ threshold amounts remain at $130, while the threshold amount for judicial review has increased by $50.00.

Click here to view the notice in the Federal Register.