GroundRules
42 CFR 424.83: Hearings on revocation of right to receive assigned benefits.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 424—CONDITIONS FOR MEDICARE PAYMENT
- Subpart F—Limitations on Assignment and Reassignment of Claims
If the supplier or other party requests a hearing under § 424.82(e)(2)—
(a) The hearing is conducted—
(1) By a CMS hearing official who was not involved in the decision to revoke; and
(2) In accordance with the procedures set forth in §§ 405.824 through 405.833 (but excepting § 405.832(d)) and 405.860 through 405.872 of this chapter. In applying those procedures, “CMS” is substituted for “carrier”; and “hearing official”, for “hearing officer”.
(b) As soon as practicable after the close of the hearing, the official who conducted it issues a hearing decision that—
(1) Is based on all the evidence presented at the hearing and included in the hearing record; and
(2) Contains findings of fact and a statement of reasons.
Collected 2026-08-27T02:26:11Z. Source file · JSON