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Medicare Appeals Thresholds for 2023 Announced

Situation Report | October 3, 2022 

The U.S. Centers for Medicare and Medicaid Services (CMS) has published the annual adjustment in the Amount in Controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process.  

The adjustment to the AIC threshold amounts will be effective for requests for ALJ hearings and judicial review filed on or after January 1, 2023. The calendar year 2023 AIC threshold amounts are $180 for ALJ hearings (same as in 2022) and $1,850 for judicial review (up from $1,760 in 2022).    

The notice is available here.