Billing Beat

Change in the Amount in Controversy (AIC) Requirement for Administrative Law Judge Hearings and Federal District Court Appeals

May 28, 2010

CR 6894 notifies Medicare contractors of the Amount in Controversy (AIC) required to sustain Administrative Law Judge (ALJ) and Federal District Court appeal rights beginning January 1, 2010.

  • The amount remaining in controversy requirement for ALJ hearing requests made before January 1, 2010, is $120. The amount remaining in controversy requirement for requests made on or after January 1, 2010, is $130.
  • For Federal District Court review, the amount remaining in controversy goes from $1,220 for requests on or after January 1, 2009, to $1,260 for requests on or after January 1, 2010.

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