42 CFR 422.580 : Public Health (Part 1 To Parts 1009-1099) — (§ 414.1 To Parts 427-429) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 414.1 To Parts 427-429) — Medicare Program (Continued) (§ 414.1 To Parts 427-429) — Medicare Advantage Program (§ 422.1 To § 422.2615) — Grievances, Organization Determinations And Appeals (§ 422.560 To § 422.626) — Reconsideration defined.

4 Aug 2016

A reconsideration consists of a review of an adverse organization determination, the evidence and findings upon which it was based, and any other evidence the parties submit or the MA organization or CMS obtains.

42 CFR 422.580