{"data":{"id":"us/42-cfr-478.16","jurisdiction":"us","citation":"42 CFR 478.16","heading":"Right to reconsideration.","body":"A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in § 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER F—QUALITY IMPROVEMENT ORGANIZATIONS","PART 478—RECONSIDERATIONS AND APPEALS","Subpart B—Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"d0ae75b138bb4b02be2ff85192e605b2c91b6eba229debf63ee661bf04392615","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-478.15","next":"us/42-cfr-478.18"},"notice":"GroundRules: Original legal text. Not legal advice."}