Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 250
Amount in Controversy (AIC) Requirements
250 - Amount in Controversy (AIC) Requirements
(Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation:07-23-13)
This section is informational only since the amount in controversy requirements only apply to the ALJ and
Federal court levels.
Section 1869 (b)(1)(E) of the Act established amount in controversy threshold amounts for ALJ hearing
requests and judicial review at $100 and $1,000, respectively. As amended by section 940 of the MMA, this
amount will be adjusted annually. In order to continue an appeal following the QIC reconsideration level, a
party must have an amount remaining in controversy that meets the threshold requirements.