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Code of Federal Regulations (Last Updated: May 6, 2024)

Title 42 - Public Health

Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services

SubChapter B - Medicare Program

Part 423 - Voluntary Medicare Prescription Drug Benefit

Subpart Z - Recovery Audit Contractor Part C Appeals Process

§ 423.2600 - Payment appeals.

Latest version.

§ 423.2600 Payment appeals.

If the Part D RAC did not apply its stated payment methodology correctly, a Part D plan sponsor may appeal the findings of the applied methodology. The payment methodology itself is not subject to appeal.

                    
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