42 CFR 405.948 - Conduct of a redetermination
| Cite as | 42 CFR 405.948 |
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13 practice notes
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...405.940–405.958; 42 U.S.C. § 1395ff(a)(3). The DMAC's redetermination process is non-adversarial, and its decision is nonprecedential. 42 C.F.R. § 405.948. A party receiving a “redetermination” may seek further review by applying for a “reconsideration” by a qualified independent contractor......
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I & R Med., P.C. v. Cochran, 17-CV-6417 (ILG)
...individual [employed by the Contractor] who was not involved in making the initial determination must make a redetermination." 42 C.F.R. § 405.948.Following redetermination, a dissatisfied party may then request reconsideration by a QIC within 180 days, regardless of the amount in cont......
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Strand Analytical Labs., LLC v. Burwell, No. 1:13-cv-00645-LJM-DKL
...42 C.F.R. § 405.940. The redetermination is performed by a different individual than the one who performed the initial review. 42 C.F.R. § 405.948. If the redetermination is unsatisfactory to the supplier, it may seek reconsideration by a qualified independent contractor ("QIC"). ......
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Art of Healing Med., P.C. v. Burwell, No. 14–CV–4001.
...involves an independent review of the claim by a MAC employee who was not involved in making the initial determination. 42 C.F.R. § 405.948.Redetermination requests may be dismissed on various procedural grounds, including lack of a valid request, failure to file within the proper filing ti......
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11 cases
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...405.940–405.958; 42 U.S.C. § 1395ff(a)(3). The DMAC's redetermination process is non-adversarial, and its decision is nonprecedential. 42 C.F.R. § 405.948. A party receiving a “redetermination” may seek further review by applying for a “reconsideration” by a qualified independent contractor......
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I & R Med., P.C. v. Cochran, 17-CV-6417 (ILG)
..."An individual [employed by the Contractor] who was not involved in making the initial determination must make a redetermination." 42 C.F.R. § 405.948.Following redetermination, a dissatisfied party may then request reconsideration by a QIC within 180 days, regardless of the amount in contr......
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Strand Analytical Labs., LLC v. Burwell, No. 1:13-cv-00645-LJM-DKL
...42 C.F.R. § 405.940. The redetermination is performed by a different individual than the one who performed the initial review. 42 C.F.R. § 405.948. If the redetermination is unsatisfactory to the supplier, it may seek reconsideration by a qualified independent contractor ("QIC"). 42 U.S.C. ......
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Art of Healing Med., P.C. v. Burwell, No. 14–CV–4001.
...involves an independent review of the claim by a MAC employee who was not involved in making the initial determination. 42 C.F.R. § 405.948.Redetermination requests may be dismissed on various procedural grounds, including lack of a valid request, failure to file within the proper filing ti......
Request a trial to view additional results