The Medicare Appeals Process Amounts in Controversy for Calendar Year 2014

November 27, 2013
Rick Gawenda

There are two levels in the Medicare Appeals process (Level III and Level V) that requires an amount in controversy (AIC) in order for the request to be considered. Following the Qualified Independent Contractor’s (QIC’s) decision, a party to the reconsideration may request an Administrative Law Judge (ALJ) hearing within 60 days of receipt of the reconsideration decision. Appellants must send notice of the ALJ hearing request to all parties to the QIC for reconsideration. In order to request a hearing by an ALJ, the amount remaining in controversy must meet the threshold requirement. For calendar year 2014, the amount in controversy will

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