CMS Raises Threshold Amounts for Medicare Appeals

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CMS recently issued a notice [PDF] that the amount in controversy necessary to pursue certain appeals will increase beginning January 1, 2013. The increase in the amount in controversy threshold relates to Administrative Law Judge (ALJ) hearings and subsequent judicial review for Medicare Part A and Part B appeals, Medicare Part C/Medicare Advantage appeals, and certain health maintenance organization and competitive health plan appeals. The thresholds are adjusted annually, as required by statute...

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Topics:  Appeals, CMS, Healthcare, Medicare

Published In: Administrative Agency Updates, Health Updates, Insurance Updates

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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