42 CFR 405.978 - Effect of a reconsideration.

Code of Federal Regulations - Title 42: Public Health

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Title 42: Public Health

CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B: MEDICARE PROGRAM

PART 405: FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED

Subpart I: Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)

: Reconsideration

405.978 - Effect of a reconsideration.

A reconsideration is binding on all parties, unless?

(a) An ALJ decision is issued in accordance to a request for an ALJ hearing made in accordance with ? 405.1014;

(b) A review entity issues a decision in accordance to a request for expedited access to judicial review under ? 405.990; or

(c) The reconsideration is revised as a result of a reopening in accordance with ? 405.980.

[70 FR 11472, Mar. 8, 2005, as amended at 74 FR 65334, Dec. 9, 2009]

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