§476.71. QIO review requirements. — Inbound Citations
42 C.F.R. § 476.71
Statutory Authority
Cited by 2 regulations in release Current.
Citations to 42 U.S.C. § 476.71 as a whole
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(a) Every hospital seeking payment for services furnished to Medicare beneficiaries must maintain a written agreement with a QIO operating in the area in which the hospital is located. These agreements must provide for the QIO review specified in § 476.71.
Citations to §476.71(c)(2)
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(2) The intermediary reviews that hospital's request and any additional information and decides whether a change in the LTC-DRG assignment is appropriate. If the intermediary decides that a different LTC-DRG should be assigned, the case will be reviewed by the appropriate QIO as specified in § 476.71(c)(2) of this chapter.