C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 422—MEDICARE ADVANTAGE PROGRAM › Subpart M—Grievances, Organization Determinations and Appeals

42 C.F.R. § 422.596

Effect of a reconsidered determination

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A reconsidered determination is final and binding on all parties unless a party other than the MA organization files a request for a hearing under the provisions of § 422.602, or unless the reconsidered determination is revised under § 422.616.

[65 FR 40331, June 29, 2000]
Notes of Decisions
Cited in 1 case, 2015–2015 · leading case: Honey v. Bayhealth Med. Ctr., Inc. (Del. Super. Ct. 2015).
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Honey v. Bayhealth Med. Ctr., Inc. (Del. Super. Ct. 2015). “576 (organizational determination); 42 C.F.R. § 422.596 (reconsideration); 42 C.”
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