42 CFR 478.16 - Right to reconsideration.

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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 478: RECONSIDERATIONS AND APPEALS

Subpart B: Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals

478.16 - Right to reconsideration.

A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in ? 473.14(a) has a right to a reconsideration of that determination by the QIO that made the initial denial determination.

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