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US · guidance

CMS Pub. 100-04, ch. 30, § 460.3.5

Make Determination and Notify Required Parties

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

For timely requests:

The BFCC-QIO must make its reconsideration determination no later than two calendar

days after it receives all requested pertinent information from the hospital.

For untimely requests:

The BFCC-QIO must make its reconsideration determination no later than three

calendar days after it receives all requested pertinent information from the hospital.

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
53d99e385e3c7fba6dd1102f05a1e217b93ceacba9041d7c6b44e86489ae3a64
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