Changes to amount in controversy (AIC) for appeals in 2026
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check...
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this...