42 C.F.R. § 411.2

Conclusive effect of QIO determinations on payment of claims.

Last amended: 2017Year: 2026Length: 50 wordsOfficial source

Cite as 42 C.F.R. § 411.2 (2026)

If a utilization and quality control quality improvement organization (QIO) has assumed review responsibility, in accordance with part 466 of this chapter, for services furnished to Medicare beneficiaries, Medicare payment is not made for those services unless the conditions of subpart C of part 466 of this chapter are met.
42 C.F.R. § 411.2: Conclusive effect of QIO determinations on payment of claims. | Justis AI