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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 405 - Federal Health Insurance for the Aged and Disabled |
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Subpart H - Appeals Under the Medicare Part B Program |
| § 405.800 - Appeals of CMS or a CMS contractor. |
| § 405.801 - Part B appeals—general description. |
| § 405.802 - Definitions. |
| § 405.803 - Appeals rights. |
| § 405.804 - Notice of initial determination. |
| § 405.805 - Parties to the initial determination. |
| § 405.806 - Impact of reversal of contractor determinations on claims processing. |
| § 405.807 - Request for review of initial determination. |
| § 405.808 - Parties to the review. |
| § 405.809 - Reinstatement of provider or supplier billing privileges following corrective action. |
| § 405.810 - Review determination. |
| § 405.811 - Notice of review determination. |
| § 405.812 - Effective date for DMEPOS supplier's billing privileges. |
| § 405.815 - Submission of claims. |
| § 405.817 - Principles for determining amount in controversy. |
| § 405.818 - Deadline for processing provider enrollment initial determinations. |
| § 405.821 - Request for carrier hearing. |
| § 405.822 - Parties to a carrier hearing. |
| § 405.823 - Carrier hearing officer. |
| § 405.824 - Disqualification of carrier hearing officer. |
| § 405.825 - Location of carrier hearing. |
| § 405.826 - Notice of carrier hearing. |
| § 405.830 - Conduct of the carrier hearing. |
| § 405.831 - Waiver of right to appear at carrier hearing and present evidence. |
| § 405.832 - Dismissal of request for carrier hearing. |
| § 405.833 - Record of carrier hearing. |
| § 405.834 - Carrier hearing officer's decision. |
| § 405.835 - Effect of carrier hearing officer's decision. |
| § 405.836 - Authority of the carrier hearing officer. |
| § 405.841 - Reopening initial or review determination of the carrier, and decision of a carrier hearing officer. |
| § 405.842 - Notice of reopening and revision. |
| § 405.850 - Change of ruling or legal precedent. |
| § 405.853 - Expedited appeals process. |
| § 405.855 - ALJ hearing. |
| § 405.856 - Departmental Appeals Board (DAB) review. |
| § 405.857 - Court review. |
| § 405.860 - Review of a national coverage determination (NCD). |
| § 405.870 - Appointment of representative. |
| § 405.871 - Qualifications of representatives. |
| § 405.872 - Authority of representatives. |
| § 405.874 - Appeals of CMS or a CMS contractor. |
| § 405.877 - Appeal of a categorization of a device. |