1. Regulations
  2. title 42
  3. chapter IV
  4. part 411
  5. subpart A
  6. § 411.2

View all text of Subpart A [§ 411.1 - § 411.15]

§ 411.2 - Conclusive effect of QIO determinations on payment of claims.

If a utilization and quality control quality improvement organization (QIO) has assumed review responsibility, in accordance with part 466 of this chapter, for services furnished to Medicare beneficiaries, Medicare payment is not made for those services unless the conditions of subpart C of part 466 of this chapter are met.

AUTHORITY: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.

SOURCE: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

CITE AS: 42 CFR 411.2