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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER F: QUALITY IMPROVEMENT ORGANIZATIONS
PART 476: UTILIZATION AND QUALITY CONTROL REVIEW
Subpart C: Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs)
: Qio Review Functions
476.84 - Changes as a result of DRG validation.
A provider or practitioner may obtain a review by a QIO under part 473 of this chapter for changes in diagnostic and procedural coding that resulted in a change in DRG assignment as a result of QIO validation activities.
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