Medicare Amount in Controversy Threshold Amounts Calendar 2014

The Medicare program requires a claim to have a certain dollar value that exceeds the Medicare amount in controversy to allow the provider or the beneficiary to appeal a claim.  The amount in controversy threshold for calendar year 2014 will be $140 to appeal Medicare claims in all appeal levels up to and including Administrative Law Judge Hearing.  The amount in controversy threshold for calendar year 2014 to take an appeal beyond Administrative Law Judge Hearing to Federal District Court will be $1,430.