US · guidance
CMS Pub. 100-04, ch. 30, § 300.5
Coverage During an Expedited Reconsideration
When a beneficiary makes a timely request for an expedited determination, the provider
may not bill the beneficiary for any disputed services until the IRE makes its
determination. Beneficiary liability for continued services is based on the QIO’s decision.
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
fcc1ea6b6e4a4bb0b452e2529a3d92e8f7101770903cd277e0824e14ac0d52e0
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