tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Industry Notes: AIC Changes for 2023 Are a Mixed Bag

If you’re filing an Administrative Law Judge (ALJ) request, expect one thing to remain status quo in 2023 — and another to increase. Currently, the amount in controversy (AIC) threshold stands at $180 for ALJ hearings, and that number will stay the same for calendar year (CY) 2023, according to a Centers for Medicare & Medicaid Services (CMS) notice published in the Federal Register on Sept. 30. However, judicial review costs will rise from the 2022 amount of $1760 to $1850. Why the change? The agency rounds the AIC threshold amounts to the nearest multiple of $10...

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