[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2006]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR411.2]

[Page 380-381]
 
                         TITLE 42--PUBLIC HEALTH
 
                    CHAPTER IV--CENTERS FOR MEDICARE
                          & MEDICAID SERVICES,
                        DEPARTMENT OF HEALTH AND
                             HUMAN SERVICES
 
PART 411_EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT--Table of Contents
 
    Subpart A_General Exclusions and Exclusion of Particular Services
 
Sec.  411.2  Conclusive effect of QIO determinations on payment of claims.

    If a utilization and quality control quality improvement 
organization

[[Page 381]]

(QIO) has assumed review responsibility, in accordance with part 466 of 
this chapter, for services furnished to Medicare beneficiaries, Medicare 
payment is not made for those services unless the conditions of subpart 
C of part 466 of this chapter are met.