Tuesday, September 29, 2015

CMS Announces AIC Threshold Amount for Medicare Appeals

Dianne De La Mare


The US Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) has released a notice announcing the annual adjustment in the amount of controversy (AIC) threshold amounts for hearings and judicial review under the Medicare appeals process. The adjustment to the AIC threshold amounts will be effective for requests for Administrative Law Judge (ALJ) hearings and judicial review filed on or after January 1, 2016. The calendar year 2016 AIC threshold amounts are $150 for ALJ hearings and $1,500 for judicial review.

For more information see the Federal Register at http://www.gpo.gov/fdsys/pkg/FR-2015-09-25/pdf/2015-24359.pdf.

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