tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Industry Notes: AIC Thresholds Remain Status Quo for 2022

Filing an administrative law judge (ALJ) request next year just got a little bit easier. You can expect the amount in controversy (AIC) to stay the same on Jan. 1. Reminder: The Centers for Medicare & Medicaid Services (CMS) determines AIC thresholds for ALJ hearings, which are the third level of the Medicare appeals process. The AIC numbers are usually adjusted for inflation every year, but CMS has opted to carry over the 2021 threshold amounts for 2022, indicates an agency notice. “The AIC threshold amount for ALJ hearings will remain at $180 and the AIC threshold amount...

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