[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: 42CFR478.38] [Page 465] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 478_RECONSIDERATIONS AND APPEALS--Table of Contents Subpart B_Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals Sec. 478.38 Effect of a reconsidered determination. A QIO reconsidered determination is binding upon all parties to the reconsideration unless-- (a) A hearing is requested in accordance with Sec. 473.40 and a final decision rendered; or (b) The reconsidered determination is later reopened and revised in accordance with Sec. 473.48. [50 FR 15372, Apr. 17, 1985; 50 FR 41887, Oct. 16, 1985, as amended at 62 FR 25855, May 12, 1997; 62 FR 49938, Sept. 24, 1997. Redesignated at 64 FR 66279, Nov. 24, 1999]