Statutes, codes, and regulations
Code of Federal Regulations
Title 42 - PUBLIC HEALTHChapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESSubchapter B - MEDICARE PROGRAMPart 411 - EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
Subpart A - GENERAL EXCLUSIONS AND EXCLUSION OF PARTICULAR SERVICES
Section 411.2 - Conclusive effect of QIO determinations on payment of claims

42 C.F.R. § 411.2

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Current through September 30, 2024
Section 411.2 - Conclusive effect of QIO determinations on payment of claims

If a utilization and quality control quality improvement organization (QIO) has assumed review responsibility, in accordance with part 466 of this chapter, for services furnished to Medicare beneficiaries, Medicare payment is not made for those services unless the conditions of subpart C of part 466 of this chapter are met.

42 C.F.R. §411.2