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42 C.F.R. § 476.85

Conclusive effect of QIO initial denial determinations and changes as a result of DRG validations.

§ 476.85 Conclusive effect of QIO initial denial determinations and changes as a result of DRG validations.

A QIO initial denial determination or change as a result of DRG validation is final and binding unless, in accordance with the procedures in part 473—

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