42 CFR 405.960 - Right to a reconsideration

Cite as42 CFR 405.960
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55 practice notes
  • Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
    • United States
    • U.S. District Court — Southern District of Texas
    • January 31, 2017
    ...§ 405.940 et seq.2. Reconsideration. A reconsideration is an independent review performed by a Qualified Independent Contractor (QIC). 42 C.F.R. § 405.960 et seq.3. Administrative Law Judge (ALJ) Hearing. If the minimum amount of controversy is met, a hearing before an ALJ may be requested.......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...; 42 C.F.R. § 405.940 et seq. );(2) A reconsideration by a Qualified Independent Contractor ("QIC") ( 42 U.S.C. § 1395ff(c), (g) ; 42 C.F.R. § 405.960 et seq. );(3) A de novo review and hearing before an Administrative Law Judge ("ALJ") ( 42 U.S.C. § 1395ff(d) ; 42 C.F.R. §§ 405.1002(a)(2),......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...; 42 C.F.R. § 405.940 et seq. );(2) A reconsideration by a Qualified Independent Contractor ("QIC") ( 42 U.S.C. § 1395ff(c), (g) ; 42 C.F.R. § 405.960 et seq. );(3) A de novo review and hearing before an Administrative Law Judge ("ALJ") ( 42 U.S.C. § 1395ff(d) ; 42 C.F.R. §§ 405.1002(a)(2),......
  • Porzecanski v. Azar, No. 18-5222
    • United States
    • United States Courts of Appeals. United States Court of Appeals (District of Columbia)
    • November 26, 2019
    ...independent contractor" who is wholly independent of the initial determination contractor. See 42 U.S.C. § 1395ff(c)(1)–(2) ; 42 C.F.R. § 405.960. If the beneficiary remains unsatisfied, he can request a hearing before an administrative law judge (ALJ). See 42 C.F.R. § 405.1000. The ALJ’s d......
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53 cases
  • Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
    • United States
    • U.S. District Court — Southern District of Texas
    • January 31, 2017
    ...§ 405.940 et seq.2. Reconsideration. A reconsideration is an independent review performed by a Qualified Independent Contractor (QIC). 42 C.F.R. § 405.960 et seq.3. Administrative Law Judge (ALJ) Hearing. If the minimum amount of controversy is met, a hearing before an ALJ may be requested.......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...; 42 C.F.R. § 405.940 et seq. );(2) A reconsideration by a Qualified Independent Contractor ("QIC") ( 42 U.S.C. § 1395ff(c), (g) ; 42 C.F.R. § 405.960 et seq. );(3) A de novo review and hearing before an Administrative Law Judge ("ALJ") ( 42 U.S.C. § 1395ff(d) ; 42 C.F.R. §§ 405.1002(a)(2),......
  • True Health Diagnostics, LLC v. Azar, CIVIL ACTION NO. 9:19-CV-00110-MJT
    • United States
    • United States District Courts. 5th Circuit. United States District Court of Eastern District Texas
    • July 22, 2019
    ...; 42 C.F.R. § 405.940 et seq. );(2) A reconsideration by a Qualified Independent Contractor ("QIC") ( 42 U.S.C. § 1395ff(c), (g) ; 42 C.F.R. § 405.960 et seq. );(3) A de novo review and hearing before an Administrative Law Judge ("ALJ") ( 42 U.S.C. § 1395ff(d) ; 42 C.F.R. §§ 405.1002(a)(2),......
  • Porzecanski v. Azar, No. 18-5222
    • United States
    • United States Courts of Appeals. United States Court of Appeals (District of Columbia)
    • November 26, 2019
    ...independent contractor" who is wholly independent of the initial determination contractor. See 42 U.S.C. § 1395ff(c)(1)–(2) ; 42 C.F.R. § 405.960. If the beneficiary remains unsatisfied, he can request a hearing before an administrative law judge (ALJ). See 42 C.F.R. § 405.1000. The ALJ’s d......
  • Request a trial to view additional results

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