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