Keep your dollar amounts and deadlines close at hand.
On May 7, CMS released Transmittal 1965, which spells out requirements for the claim amount in controversy for you to file a level-three (administrative law judge hearing) and level-five (federal district court) appeal.
Updates are affective Aug. 9, 2010, and include:
• At least $100 must remain in controversy to file an ALJ appeal, and for requests filed on or after Jan. 1, 2010, at least $130 must remain in controversy.
• At least $1,000 must remain in controversy to file a federal district court appeal, and for requests filed on or after Jan. 1, 2010, at least $1,260 must remain in controversy.
Don't miss:
"CMS is adding information to the Amount in Controversy General Requirements, Principles for Determining Amount in Controversy and Aggregation of Claims..." the transmittal, CR 6894, reads. See below for a chart that spells out all amounts in controversy and the timeframes you're dealing with for each step in the appeals process.