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.