§476.85. Conclusive effect of QIO initial denial determinations and changes as a result of DRG validations.
42 C.F.R. § 476.85
A QIO initial denial determination or change as a result of DRG validation is final and binding unless, in accordance with the procedures in part 473—
The initial denial determination is reconsidered and revised; or
The change as a result of DRG validation is reviewed and revised.
Notes, amendments, and revision history
Source
Source: 50 FR 15330, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 44 FR 32081, June 4, 1979, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.