Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 478  /  Sec. 478.16 Right to reconsideration.

A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in Sec. 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination. [50 FR 15330, Apr. 17, 1985, as amended at 77 FR 68563, Nov. 15, 2012]