[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR416.150]



[Page 818]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 416_AMBULATORY SURGICAL SERVICES--Table of Contents

 

                 Subpart E_Payment for Facility Services

 

Sec. 416.150  Beneficiary appeals.



    A beneficiary (or ASC as his or her assignee) may request a hearing 

by a carrier (subject to the limitations and conditions set forth in 

part 405, subpart H of this chapter) if the beneficiary or the ASC--

    (a) Is dissatisfied with a carrier's denial of a request for payment 

made on his or her behalf by an ASC;

    (b) Is dissatisfied with the amount of payment; or

    (c) Believes the request for payment is not being acted upon with 

reasonable promptness.