U.S. Code of Federal Regulations

Regulations most recently checked for updates: Sep 16, 2024

All TitlesTitle 42Chapter IVPart 405Subpart R - Subpart R—Provider Reimbursement Determinations and Appeals
§ 405.1801 - Introduction.
§ 405.1803 - Contractor 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 contractor determination.
§ 405.1807 - Effect of contractor determination.
§ 405.1809 - Contractor hearing procedures.
§ 405.1811 - Right to contractor hearing; contents of, and adding issues to, hearing request.
§ 405.1813 - Good cause extension of time limit for requesting a contractor hearing.
§ 405.1814 - Contractor hearing officer jurisdiction.
§ 405.1815 - Parties to proceedings before the contractor hearing officer(s).
§ 405.1817 - Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers.
§ 405.1819 - Conduct of contractor hearing.
§ 405.1821 - Prehearing discovery and other proceedings prior to the contractor hearing.
§ 405.1823 - Evidence at contractor hearing.
§ 405.1825 - Witnesses at contractor hearing.
§ 405.1827 - Record of proceedings before the contractor hearing officer(s).
§ 405.1829 - Scope of authority of contractor hearing officer(s).
§ 405.1831 - Contractor hearing decision.
§ 405.1832 - Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim.
§ 405.1833 - Effect of contractor 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.
§ 405.1873 - Board review of compliance with the reimbursement requirement of an appropriate cost report claim.
§ 405.1875 - Administrator review.
§ 405.1877 - Judicial review.
§ 405.1881 - Appointment of representative.
§ 405.1883 - Authority of representative.
§ 405.1885 - Reopening a contractor 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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