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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 (parts 405 to 426)
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PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
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SUBPART R—Provider Reimbursement Determinations and Appeals (§405.1801 to §405.1889)
CFR
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Title 3 - The President
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Title 25 - Indians
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SUBPART R—Provider Reimbursement Determinations and Appeals (§405.1801 to §405.1889)
405.1801—Introduction.
405.1803—Intermediary determination and notice of amount of program reimbursement.
405.1804—Matters not subject to administrative and judicial review under prospective payment.
405.1805—Parties to intermediary determination.
405.1807—Effect of intermediary determination.
405.1809—Intermediary hearing procedures.
405.1811—Right to intermediary hearing; contents of, and adding issues to, hearing request.
405.1813—Good cause extension of time limit for requesting an intermediary hearing.
405.1814—Intermediary hearing officer jurisdiction.
405.1815—Parties to proceedings before the intermediary hearing officer(s).
405.1817—Hearing officer or panel of hearing officers authorized to conduct intermediary hearing; disqualification of officers.
405.1819—Conduct of intermediary hearing.
405.1821—Prehearing discovery and other proceedings prior to the intermediary hearing.
405.1823—Evidence at intermediary hearing.
405.1825—Witnesses at intermediary hearing.
405.1827—Record of proceedings before the intermediary hearing officer(s).
405.1829—Scope of authority of intermediary hearing officer(s).
405.1831—Intermediary hearing decision.
405.1833—Effect of intermediary hearing decision.
405.1834—CMS reviewing official procedure.
405.1835—Right to Board hearing; contents of, and adding issues to, hearing request.
405.1836—Good cause extension of time limit for requesting a Board hearing.
405.1837—Group appeals.
405.1839—Amount in controversy.
405.1840—Board jurisdiction.
405.1842—Expedited judicial review.
405.1843—Parties to proceedings in a Board appeal.
405.1845—Composition of Board; hearings, decisions, and remands.
405.1847—Disqualification of Board members.
405.1849—Establishment of time and place of hearing by the Board.
405.1851—Conduct of Board hearing.
405.1853—Board proceedings prior to any hearing; discovery.
405.1855—Evidence at Board hearing.
405.1857—Subpoenas.
405.1859—Witnesses.
405.1861—Oral argument and written allegations.
405.1863—Administrative policy at issue.
405.1865—Record of administrative proceedings.
405.1867—Scope of Board's legal authority.
405.1868—Board actions in response to failure to follow Board rules.
405.1869—Scope of Board's authority in a hearing decision.
405.1871—Board hearing decision.
405.1875—Administrator review.
405.1877—Judicial review.
405.1881—Appointment of representative.
405.1883—Authority of representative.
405.1885—Reopening an intermediary determination or reviewing entity decision.
405.1887—Notice of reopening; effect of reopening.
405.1889—Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.
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