Code of Federal Regulations · Section

§ 478.16 — Right To Reconsideration

42 C.F.R. § 478.16

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A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in § 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination.

42 C.F.R. § 478.15 42 C.F.R. § 478.18

Authorizing Statute

Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
42 U.S.C. § 1302