42 C.F.R. § 478.16
Right to reconsideration.
Cite as 42 C.F.R. § 478.16 (2026)
A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in § 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination.
[50 FR 15330, Apr. 17, 1985, as amended at 77 FR 68563, Nov. 15, 2012]
- Cross-references to the CFR
- 478.14