Text
Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER B: MEDICARE PROGRAM
PART 422: MEDICARE ADVANTAGE PROGRAM
Subpart M: Grievances, Organization Determinations and Appeals
422.578 - Right to a reconsideration.
Any party to an organization determination (including one that has been reopened and revised as described in ? 422.616) may request that the determination be reconsidered under the procedures described in ? 422.582, which address requests for a standard reconsideration. A physician who is providing treatment to an enrollee may, upon providing notice to the enrollee, request a standard reconsideration of a pre-service request for reconsideration on the enrollee's behalf as described in ? 422.582. An enrollee or physician (acting on behalf of an enrollee) may request an expedited reconsideration as described in ? 422.584.
[74 FR 1542, Jan. 12, 2009]
Sponsored links
