US · guidance
CMS Pub. 100-04, ch. 30, § 300
Expedited Reconsiderations
A beneficiary who is dissatisfied with a QIO determination can request a reconsideration
by an independent review entity (IRE). Such reconsiderations are codified in regulations
effective July 1, 2005 (42 CFR 405.1204) but are familiar to inpatient hospital providers
as the process previously available under §1155 of the Act. This reconsideration process
is the same for hospital and non-hospital providers.
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
22eec27985eb9736d49caa1ae379cd202b314c7ff46e762ac3d512f07ca03a72
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.