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Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Federal Health Insurance for the Aged and Disabled
  7. Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)

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Section
405.900

Basis and scope.

Section
405.902

Definitions.

Section
405.903

Prepayment review.

Section
405.904

Medicare initial determinations, redeterminations and appeals: General description.

Section
405.906

Parties to the initial determinations, redeterminations, reconsiderations, hearings, and reviews.

Section
405.908

Medicaid State agencies.

Subject_group

Initial Determinations

Subject_group

Redeterminations

Subject_group

Reconsideration

Subject_group

Reopenings

Subject_group

Expedited Access to Judicial Review

Subject_group

ALJ Hearings

Subject_group

Applicability of Medicare Coverage Policies

Subject_group

Medicare Appeals Council Review

Section
405.910

Appointed representatives.

Section
405.912

Assignment of appeal rights.

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