Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 250

Amount in Controversy (AIC) Requirements

Last amended: 2013Year: 2013Length: 97 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 250: Amount in Controversy (AIC) Requirements | Justis AI