Subpart B - UTILIZATION AND QUALITY CONTROL QUALITY IMPROVEMENT ORGANIZATION (QIO) RECONSIDERATIONS AND APPEALS
- Section 478.10 - Scope
- Section 478.12 - Statutory basis
- Section 478.14 - Applicability
- Section 478.15 - QIO review of changes resulting from DRG validation
- Section 478.16 - Right to reconsideration
- Section 478.18 - Location for submitting requests for reconsideration
- Section 478.20 - Time limits for requesting reconsideration
- Section 478.22 - Good cause for late filing of a request for a reconsideration or hearing
- Section 478.24 - Opportunity for a party to obtain and submit information
- Section 478.26 - Delegation of the reconsideration function
- Section 478.28 - Qualifications of a reconsideration reviewer
- Section 478.30 - Evidence to be considered by the reconsideration reviewer
- Section 478.32 - Time limits for issuance of the reconsidered determination
- Section 478.34 - Notice of a reconsidered determination
- Section 478.36 - Record of reconsideration
- Section 478.38 - Effect of a reconsidered determination
- Section 478.40 - Beneficiary's right to a hearing
- Section 478.42 - Submitting a request for a hearing
- Section 478.44 - Determining the amount in controversy for a hearing
- Section 478.46 - Medicare Appeals Council and judicial review
- Section 478.48 - Reopening and revision of a reconsidered determination or a decision