tci Medicare Compliance & Reimbursement - 2008 Issue 9

Appeals: Update Your Appeal Flowcharts

CMS changes threshold amounts -- here's the new chart You have one more change to incorporate into your billing arsenal this year. CMS directed all of its carriers to increase the Administrative Law Judge and Federal District Court Amount in Controversy threshold amounts. The ALJ hearing request threshold was $110 and is now $120 after Jan. 1. The AIC threshold amount was $1,130 and is now $1,180 after Jan. 1. Take a look at this chart to see how your appeals will flow in 2008. ...

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