42 C.F.R. § 405.1064 ALJ decisions involving statistical samples.
Title 42 - Public Health
When an appeal from the QIC involves an overpayment issue and the QIC used a statistical sample in reaching its reconsideration, the ALJ must base his or her decision on a review of the entire statistical sample used by the QIC.
Title 42: Public Health
PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Subpart I—Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)
Applicability of Medicare Coverage Policies
§ 405.1064 ALJ decisions involving statistical samples.
