Title 42--Public Health

CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

PART 478--RECONSIDERATIONS AND APPEALS

TEXT PDF478.10 Scope.
TEXT PDF478.12 Statutory basis.
TEXT PDF478.14 Applicability.
TEXT PDF478.15 QIO review of changes resulting from DRG validation.
TEXT PDF478.16 Right to reconsideration.
TEXT PDF478.18 Location for submitting requests for reconsideration.
TEXT PDF478.20 Time limits for requesting reconsideration.
TEXT PDF478.22 Good cause for late filing of a request for a reconsideration or hearing.
TEXT PDF478.24 Opportunity for a party to obtain and submit information.
TEXT PDF478.26 Delegation of the reconsideration function.
TEXT PDF478.28 Qualifications of a reconsideration reviewer.
TEXT PDF478.30 Evidence to be considered by the reconsideration reviewer.
TEXT PDF478.32 Time limits for issuance of the reconsidered determination.
TEXT PDF478.34 Notice of a reconsidered determination.
TEXT PDF478.36 Record of reconsideration.
TEXT PDF478.38 Effect of a reconsidered determination.
TEXT PDF478.40 Beneficiary's right to a hearing.
TEXT PDF478.42 Submitting a request for a hearing.
TEXT PDF478.44 Determining the amount in controversy for a hearing.
TEXT PDF478.46 Departmental Appeals Board and judicial review.
TEXT PDF478.48 Reopening and revision of a reconsidered determination or a hearing decision.

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