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US · guidance

CMS Pub. 100-04, ch. 30, § 450.6

Effect of a BFCC-QIO Expedited Determination

activein force · 2026-08-25 – presentas-observed

The BFCC-QIO determination is binding for payment purposes on the beneficiary,

hospital, and MAC, unless the beneficiary pursues an expedited reconsideration per

section 460 of this chapter.

History

(Rev. 12934; Issued: 10-31-24; Effective: 11-15-24; Implementation: 02-14-25)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
c40831b05614d78d10eedaf3eebe3167b29da1e564ea7823394cc774e0034a74
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