42 C.F.R. § 478.16 Right to reconsideration.
Title 42 - Public Health
A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in §473.14(a) has a right to a reconsideration of that determination by the QIO that made the initial denial determination.
Title 42: Public Health
PART 478—RECONSIDERATIONS AND APPEALS
Subpart B—Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals
§ 478.16 Right to reconsideration.
