Home Health & Hospice Week

Industry Notes:

Threshold For ALJ Judicial Review Increases In New Year

Like many costs these days, an Administrative Law Judge-related expense will go up next year.

Currently, the amount in controversy (AIC) threshold stands at $180 for ALJ hearings, and that number will stay the same for calendar year 2023, according to a Centers for Medicare & Medicaid Services notice published in the Sept. 30 Federal Register. However, judicial review costs will rise from the 2022 amount of $1,760 to $1,850.

Why the change? The agency rounds the AIC threshold amounts to the nearest multiple of $10 after calculating figures from federally mandated percentage increases, CMS says. “These amounts are based on the 84.665 percent increase in the medical care component of the [consumer price index] CPI, which was at 297.600 in July 2003 and rose to 549.562 in July 2022.”

Review the notice at www.govinfo.gov/content/pkg/FR-2022-09-30/pdf/2022-21284.pdf.

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