42 CFR § 478.16
Right to reconsideration
June 11, 2020
A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in §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]
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