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