[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR476.85] [Page 456] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 476_UTILIZATION AND QUALITY CONTROL REVIEW--Table of Contents Subpart C_Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs) Sec. 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-- (a) The initial denial determination is reconsidered and revised; or (b) The change as a result of DRG validation is reviewed and revised.