Source: http://www.law.cornell.edu/cfr/text/42/part-476/subpart-C
Timestamp: 2014-11-27 09:52:16
Document Index: 383739751

Matched Legal Cases: ['art 476', 'art 476', 'art 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476', '§ 476']

42 CFR Part 476, Subpart C - Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs) | LII / Legal Information Institute
CFR › Title 42 › Chapter IV › Subchapter F › Part 476 › Subpart C 42 CFR Part 476, Subpart C - Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs)
§ 476.70 — Statutory bases and applicability.
§ 476.71 — QIO review requirements.
§ 476.72 — Review of the quality of care of risk-basis health maintenance organizations and competitive medical plans.
§ 476.73 — Notification of QIO designation and implementation of review.
§ 476.74 — General requirements for the assumption of review.
§ 476.76 — Cooperation with health care facilities.
§ 476.78 — Responsibilities of providers and practitioners..
§ 476.80 — Coordination with Medicare fiscal intermediaries and carriers.
§ 476.82 — Continuation of functions not assumed by QIOs.
§ 476.83 — Initial denial determinations.
§ 476.84 — Changes as a result of DRG validation.
§ 476.85 — Conclusive effect of QIO initial denial determinations and changes as a result of DRG validations.
§ 476.86 — Correlation of Title XI functions with Title XVIII functions.
§ 476.88 — Examination of the operations and records of health care facilities and practitioners.
§ 476.90 — Lack of cooperation by a provider or practitioner.
§ 476.93 — Opportunity to discuss proposed initial denial determination and changes as a result of a DRG validation.
§ 476.94 — Notice of QIO initial denial determination and changes as a result of a DRG validation.
§ 476.96 — Review period and reopening of initial denial determinations and changes as a result of DRG validations.
§ 476.98 — Reviewer qualifications and participation.
§ 476.100 — Use of norms and criteria.
§ 476.102 — Involvement of health care practitioners other than physicians.
§ 476.104 — Coordination of activities.
50 FR 15330, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.