The ALJ hearing is which level of Medicare appeal, and what was the 2012 amount in controversy threshold?

The ALJ hearing is which level of Medicare appeal, and what was the 2012 amount in controversy threshold?

• A. Third level; $130
• B. First level; $130
• C. Second level; $130
• D. Fourth level; $130

Answer: (D)

The level being tested is where an Administrative Law Judge (ALJ) hearing fits into the Medicare appeals process, and the amount in controversy is the minimum dollar amount that must be in dispute to proceed to that level. The ALJ hearing is the fourth level of Medicare appeals, and in 2012 the threshold to have an appeal heard at that level was $130. This threshold sets the minimum dispute amount required to advance beyond earlier review steps.

The level being tested is where an Administrative Law Judge (ALJ) hearing fits into the Medicare appeals process, and the amount in controversy is the minimum dollar amount that must be in dispute to proceed to that level. The ALJ hearing is the fourth level of Medicare appeals, and in 2012 the threshold to have an appeal heard at that level was $130. This threshold sets the minimum dispute amount required to advance beyond earlier review steps.