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42 CFR §422.566(d)

September 3, 2020 3:47 am Published by

If the MA organization expects to issue a partially or fully adverse medical necessity (or any substantively equivalent term used... View more

42 CFR §422.590(g)(2)

May 5, 2020 9:22 am Published by

(g) Who must reconsider an adverse organization determination. (2) When the issue is the MA organization’s denial of coverage based... View more

45 CFR § 146.130 (a)

January 22, 2025 12:43 am Published by

(a) Hospital length of stay—(1) General rule. Except as provided in paragraph (a)(5) of this section, a group health plan,... View more

45 CFR §164.530 (c)

May 23, 2020 4:26 pm Published by

(1) Standard: Safeguards. A covered entity must have in place appropriate administrative, technical, and physical safeguards to protect the privacy... View more

6 TIC §843.002(7)

August 8, 2021 2:08 pm Published by

(7) “Emergency care” means health care services provided in a hospital emergency facility… to evaluate and stabilize medical conditions of... View more

6 TIC §843.002(7)(E)

August 8, 2021 8:35 am Published by

(7) “Emergency care” means health care services provided in a hospital emergency facility… to evaluate and stabilize medical conditions of... View more