Subpart I—Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)

1. CFR
2. ›
3. Title 42
4. ›
5. Chapter IV
6. ›
7. Part 405
8. ›
9. Subpart I

Contents

• 405.900
  § 405.900 Basis and scope.
• 405.902
  § 405.902 Definitions.
• 405.903
  § 405.903 Prepayment review.
• 405.904
  § 405.904 Medicare initial determinations, redeterminations and appeals: General description.
• 405.906
  § 405.906 Parties to the initial determinations, redeterminations, reconsiderations, hearings, and reviews.
• 405.908
  § 405.908 Medicaid State agencies.
• 405.910
  § 405.910 Appointed representatives.
• 405.912
  § 405.912 Assignment of appeal rights.
• ALJ Hearings
  ALJ Hearings Sections 405.1000–405.1058
• Applicability of Medicare Coverage Policies
  Applicability of Medicare Coverage Policies Sections 405.1060–405.1063
• Expedited Access to Judicial Review
  Expedited Access to Judicial Review Section 405.990
• Initial Determinations
  Initial Determinations Sections 405.920–405.930
• Medicare Appeals Council Review
  Medicare Appeals Council Review Sections 405.1100–405.1140
• Reconsideration
  Reconsideration Sections 405.960–405.978
• Redeterminations
  Redeterminations Sections 405.940–405.958
• Reopenings
  Reopenings Sections 405.980–405.986
• Retrospective Appeals for Changes in Patient Status That Resulted in Denial of Part A Coverage for Hospital Services
  Retrospective Appeals for Changes in Patient Status That Resulted in Denial of Part A Coverage for Hospital Services Sections 405.931–405.938