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U.S. Code Regulations Constitution Journal Apps
  1. Regulations
    All Titles
  2. title 42
    Public Health
  3. chapter IV
    CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. part 405
    FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
  5. subpart I
    Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)
  6. subjgrp 25
    Initial Determinations

Subjgrp 25. Initial Determinations

  • § 405.920 - Initial determinations.
  • § 405.921 - Notice of initial determination.
  • § 405.922 - Time frame for processing initial determinations.
  • § 405.924 - Actions that are initial determinations.
  • § 405.925 - Decisions of utilization review committees.
  • § 405.926 - Actions that are not initial determinations.
  • § 405.927 - Initial determinations subject to the reopenings process.
  • § 405.928 - Effect of the initial determination.
  • § 405.929 - Post-payment review.
  • § 405.930 - Failure to respond to additional documentation request.
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