US · guidance
CMS Pub. 100-04, ch. 30, § 220.1
Responsibilities of the Hospital
The hospital must comply with the following procedures when requesting a QIO review:
Notify the Beneficiary. Hospitals must notify the beneficiary that the hospital has
requested a review using a model language notice called the Hospital Requested Review
(HRR) described in this section. See Section 220.4 for General Notice Requirements.
Supply information to the QIO. Hospitals must supply any pertinent information the
QIO needs to conduct its review and must make it available by phone or in writing, by
close of business on the first full day immediately following the day the hospital submits
the request for review.
History
(Rev. 1257, Issued: 05-25-07; Effective: 07-01-07; Implementation: 07-02-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
fe54e4f3c7aa8eeb00ab010134ed726a0ea9f87b73ec57ef61215a5f5166dac8
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