42 C.F.R. § 422.580 Reconsideration defined.
Title 42 - Public Health
A reconsideration consists of a review of an adverse organization determination, the evidence and findings upon which it was based, and any other evidence the parties submit or the MA organization or CMS obtains.
Title 42: Public Health
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart M—Grievances, Organization Determinations and Appeals
§ 422.580 Reconsideration defined.
