| West Virginia Oncology Society |
This article is based on Change Request (CR) 6894, which notifies Medicare contractors of the
Amount in Controversy (AIC) required to sustain Administrative Law Judge (ALJ) and Federal
District Court appeal rights beginning January 1, 2010.
• The amount remaining in controversy requirement for ALJ hearing requests made before January
1, 2010, is $120. The amount remaining in controversy requirement for requests made on or
after January 1, 2010, is $130.
• For Federal District Court review, the amount remaining in controversy goes from $1,220 for
requests on or after January 1, 2009, to $1,260 for requests on or after January 1, 2010.
The MLN Matters article is available on the CMS Website at: http://www.cms.
gov/MLNMattersArticles/downloads/MM6894.pdf
Please ensure that your staff knows of these changes.
Amount in Controversy (AIC) required to sustain Administrative Law Judge (ALJ) and Federal
District Court appeal rights beginning January 1, 2010.
• The amount remaining in controversy requirement for ALJ hearing requests made before January
1, 2010, is $120. The amount remaining in controversy requirement for requests made on or
after January 1, 2010, is $130.
• For Federal District Court review, the amount remaining in controversy goes from $1,220 for
requests on or after January 1, 2009, to $1,260 for requests on or after January 1, 2010.
The MLN Matters article is available on the CMS Website at: http://www.cms.
gov/MLNMattersArticles/downloads/MM6894.pdf
Please ensure that your staff knows of these changes.
| CHANGE IN THE AMOUNT IN CONTROVERSY (AIC) REQUIREMENT FOR ADMINISTRATIVE LAW JUDGE HEARINGS AND FEDERAL DISTRICT COURT APPEALS |
Advocacy & Reimbursement - Private Practice