Subpart R — Provider Reimbursement Determinations and Appeals
- §405.1801 Introduction.
- §405.1803 Contractor determination and notice of amount of program reimbursement.
- §405.1804 Matters not subject to administrative and judicial review under prospective payment.
- §405.1805 Parties to contractor determination.
- §405.1807 Effect of contractor determination.
- §405.1809 Contractor hearing procedures.
- §405.1811 Right to contractor hearing; contents of, and adding issues to, hearing request.
- §405.1813 Good cause extension of time limit for requesting a contractor hearing.
- §405.1814 Contractor hearing officer jurisdiction.
- §405.1815 Parties to proceedings before the contractor hearing officer(s).
- §405.1817 Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers.
- §405.1819 Conduct of contractor hearing.
- §405.1821 Prehearing discovery and other proceedings prior to the contractor hearing.
- §405.1823 Evidence at contractor hearing.
- §405.1825 Witnesses at contractor hearing.
- §405.1827 Record of proceedings before the contractor hearing officer(s).
- §405.1829 Scope of authority of contractor hearing officer(s).
- §405.1831 Contractor hearing decision.
- §405.1832 Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim.
- §405.1833 Effect of contractor hearing decision.
- §405.1834 CMS reviewing official procedure.
- §405.1835 Right to Board hearing; contents of, and adding issues to, hearing request.
- §405.1836 Good cause extension of time limit for requesting a Board hearing.
- §405.1837 Group appeals.
- §405.1839 Amount in controversy.
- §405.1840 Board jurisdiction.
- §405.1842 Expedited judicial review.
- §405.1843 Parties to proceedings in a Board appeal.
- §405.1845 Composition of Board; hearings, decisions, and remands.
- §405.1847 Disqualification of Board members.
- §405.1849 Establishment of time and place of hearing by the Board.
- §405.1851 Conduct of Board hearing.
- §405.1853 Board proceedings prior to any hearing; discovery.
- §405.1855 Evidence at Board hearing.
- §405.1857 Subpoenas.
- §405.1859 Witnesses.
- §405.1861 Oral argument and written allegations.
- §405.1863 Administrative policy at issue.
- §405.1865 Record of administrative proceedings.
- §405.1867 Scope of Board's legal authority.
- §405.1868 Board actions in response to failure to follow Board rules.
- §405.1869 Scope of Board's authority in a hearing decision.
- §405.1871 Board hearing decision.
- §405.1873 Board review of compliance with the reimbursement requirement of an appropriate cost report claim.
- §405.1875 Administrator review.
- §405.1877 Judicial review.
- §405.1881 Appointment of representative.
- §405.1883 Authority of representative.
- §405.1885 Reopening a contractor determination or reviewing entity decision.
- §405.1887 Notice of reopening; effect of reopening.
- §405.1889 Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.