[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR411.2]

[Page 387-388]
 
                         TITLE 42--PUBLIC HEALTH
 
                             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 (QIO) has assumed review responsibility, in accordance with 
part 466 of

[[Page 388]]

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.