Right to a reconsideration.

1. Law
2. CFR 42
3. Public Health
4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
5. Medicare Program
6. Medicare Advantage Program
7. Grievances, Organization Determinations and Appeals
8. Right to a reconsideration.

§ 422.578 Right to a reconsideration.

Any party to an organization determination (including one that has been reopened and revised as described in § 422.616) may request that the determination be reconsidered under the procedures described in § 422.582, which address requests for a standard reconsideration. A physician who is providing treatment to an enrollee may, upon providing notice to the enrollee, request a standard reconsideration of a pre-service request for reconsideration on the enrollee's behalf as described in § 422.582. An enrollee or physician (acting on behalf of an enrollee) may request an expedited reconsideration as described in § 422.584.

[74 FR 1542, Jan. 12, 2009]

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