CFR
- Title 1 - General Provisions
- Title 2 - Grants and Agreements
- Title 3 - The President
- Title 4 - Accounts
- Title 5 - Administrative Personnel
- Title 6 - Domestic Security
- Title 7 - Agriculture
- Title 8 - Aliens and Nationality
- Title 9 - Animals and Animal Products
- Title 10 - Energy
- Title 11 - Federal Elections
- Title 12 - Banks and Banking
- Title 13 - Business Credit and Assistance
- Title 14 - Aeronautics and Space
- Title 15 - Commerce and Foreign Trade
- Title 16 - Commercial Practices
- Title 17 - Commodity and Securities Exchanges
- Title 18 - Conservation of Power and Water Resources
- Title 19 - Customs Duties
- Title 20 - Employees' Benefits
- Title 21 - Food and Drugs
- Title 22 - Foreign Relations
- Title 23 - Highways
- Title 24 - Housing and Urban Development
- Title 25 - Indians
- Title 26 - Internal Revenue
- Title 27 - Alcohol, Tobacco Products and Firearms
- Title 28 - Judicial Administration
- Title 29 - Labor
- Title 30 - Mineral Resources
- Title 31 - Money and Finance: Treasury
- Title 32 - National Defense
- Title 33 - Navigation and Navigable Waters
- Title 34 - Education
- Title 35 - Panama Canal
- Title 36 - Parks, Forests, and Public Property
- Title 37 - Patents, Trademarks, and Copyrights
- Title 38 - Pensions, Bonuses, and Veterans' Relief
- Title 39 - Postal Service
- Title 40 - Protection of Environment
- Title 41 - Public Contracts and Property Management
- Title 42 - Public Health
- Title 43 - Public Lands: Interior
- Title 44 - Emergency Management and Assistance
- Title 45 - Public Welfare
- Title 46 - Shipping
- Title 47 - Telecommunication
- Title 48 - Federal Acquisition Regulations System
- Title 49 - Transportation
- Title 50 - Wildlife and Fisheries
SUBPART C—Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs) (§476.70 to §476.104)
- 476.70—Statutory bases and applicability.
- 476.71—QIO review requirements.
- 476.72—Review of the quality of care of risk-basis health maintenance organizations and competitive medical plans.
- 476.73—Notification of QIO designation and implementation of review.
- 476.74—General requirements for the assumption of review.
- 476.76—Cooperation with health care facilities.
- 476.78—Responsibilities of health care facilities.
- 476.80—Coordination with Medicare fiscal intermediaries and carriers.
- 476.82—Continuation of functions not assumed by QIOs.
- 476.83—Initial denial determinations.
- 476.84—Changes as a result of DRG validation.
- 476.85—Conclusive effect of QIO initial denial determinations and changes as a result of DRG validations.
- 476.86—Correlation of Title XI functions with Title XVIII functions.
- 476.88—Examination of the operations and records of health care facilities and practitioners.
- 476.90—Lack of cooperation by a health care facility or practitioner.
- 476.93—Opportunity to discuss proposed initial denial determination and changes as a result of a DRG validation.
- 476.94—Notice of QIO initial denial determination and changes as a result of a DRG validation.
- 476.96—Review period and reopening of initial denial determinations and changes as a result of DRG validations.
- 476.98—Reviewer qualifications and participation.
- 476.100—Use of norms and criteria.
- 476.102—Involvement of health care practitioners other than physicians.
- 476.104—Coordination of activities.
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