Changes to amount in controversy (AIC) for appeals in 2022
The Centers for Medicare and Medicaid Services (CMS) has published the amount in controversy (AIC) for calendar year (CY) 2022 to appeal claims to the Administrative Law Judge (ALJ) level and/or Federal District Court level.
Dollar Amount in Controversy Required to Sustain Appeal Rights
The Centers for Medicare and Medicaid Services has announced the dollar amount that must remain in controversy to sustain appeal rights beginning January 1, 2021. The amount that must remain in controversy for Administrative Law Judge (ALJ) hearing requests filed on or after January 1, 2021, is $180. This is an increase of $10.00 from calendar year 2020. The amount that must remain in controversy for reviews in Federal District Court requested on or after January 1, 2021, is $1,760. This is an increase of $90.00 from calendar year 2020.