Medicare Compliance & Reimbursement

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.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more