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C.F.R. Title 42 Chapter IV Subchapter F Part 478 Subpart B

Code of Federal Regulations · Subpart

Subpart B — Utilization And Quality Control Quality Improvement Organization (qio) Reconsiderations And Appeals

42 C.F.R. pt. 478, subpt. B

  • § 478.10 Scope
  • § 478.12 Statutory Basis
  • § 478.14 Applicability
  • § 478.15 Qio Review Of Changes Resulting From Drg Validation
  • § 478.16 Right To Reconsideration
  • § 478.18 Location For Submitting Requests For Reconsideration
  • § 478.20 Time Limits For Requesting Reconsideration
  • § 478.22 Good Cause For Late Filing Of A Request For A Reconsideration Or Hearing
  • § 478.24 Opportunity For A Party To Obtain And Submit Information
  • § 478.26 Delegation Of The Reconsideration Function
  • § 478.28 Qualifications Of A Reconsideration Reviewer
  • § 478.30 Evidence To Be Considered By The Reconsideration Reviewer
  • § 478.32 Time Limits For Issuance Of The Reconsidered Determination
  • § 478.34 Notice Of A Reconsidered Determination
  • § 478.36 Record Of Reconsideration
  • § 478.38 Effect Of A Reconsidered Determination
  • § 478.40 Beneficiary's Right To A Hearing
  • § 478.42 Submitting A Request For A Hearing
  • § 478.44 Determining The Amount In Controversy For A Hearing
  • § 478.46 Medicare Appeals Council And Judicial Review
  • § 478.48 Reopening And Revision Of A Reconsidered Determination Or A Decision
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