tci Medicare Compliance & Reimbursement - 2023 Issue Q4

Industry Notes: Feds Opt To Decrease AIC Rate For Judicial Review

If inflation has hit your practice hard, we’ve got some good news for you on Medicare appeals fees. Update: Amount in controversy (AIC) rates are updated annually and often increase based on inflation. For a second year in a row, the Centers for Medicare & Medicaid Services (CMS) has opted to keep the AIC costs for the third level of appeals, the Administrative Law Judge (ALJ) request, status quo at $180 for calendar year (CY) 2024, according to a notice in the Federal Register on Sept. 29. However, after substantially bumping up AIC costs for judicial reviews, which...

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