Code of Federal Regulations · Subpart
Subpart C — Review Responsibilities Of Quality Improvement Organizations (qios)
42 C.F.R. pt. 476, subpt. C
- § 476.70 Statutory Bases And Applicability
- § 476.71 Qio Review Requirements
- § 476.73 Notification Of Qio Designation And Implementation Of Review
- § 476.74 General Requirements For The Assumption Of Review
- § 476.76 Cooperation With Health Care Facilities
- § 476.78 Responsibilities Of Providers And Practitioners
- § 476.80 Coordination With Medicare Administrative Contractors, Fiscal Intermediaries, And Carriers
- § 476.82 Continuation Of Functions Not Assumed By Qios
- § 476.83 Initial Denial Determinations
- § 476.84 Changes As A Result Of Drg Validation
- § 476.85 Conclusive Effect Of Qio Initial Denial Determinations And Changes As A Result Of Drg Validations
- § 476.86 Correlation Of Title XI Functions With Title XVIII Functions
- § 476.88 Examination Of The Operations And Records Of Health Care Facilities And Practitioners
- § 476.90 Lack Of Cooperation By A Provider Or Practitioner
- § 476.93 Opportunity To Discuss Proposed Initial Denial Determination And Changes As A Result Of A Drg Validation
- § 476.94 Notice Of Qio Initial Denial Determination And Changes As A Result Of A Drg Validation
- § 476.96 Review Period And Reopening Of Initial Denial Determinations And Changes As A Result Of Drg Validations
- § 476.98 Reviewer Qualifications And Participation
- § 476.100 Use Of Norms And Criteria
- § 476.102 Involvement Of Health Care Practitioners Other Than Physicians
- § 476.104 Coordination Of Activities
- § 476.110 Use Of Immediate Advocacy To Resolve Oral Beneficiary Complaints
- § 476.120 Submission Of Written Beneficiary Complaints
- § 476.130 Beneficiary Complaint Review Procedures
- § 476.140 Beneficiary Complaint Reconsideration Procedures
- § 476.150 Abandoned Complaints And Reopening Rights
- § 476.160 General Quality Of Care Review Procedures
- § 476.170 General Quality Of Care Reconsideration Procedures