Federal Laws

Find out what rights you and your patients have under current federal statutes and regulations, such as the Employee Retirement Income Security Act and the Medicare Advantage program.

Federal Law

Title 42-Chapter IV-Subchapter B-Part 422-Subpart K. Application Procedures and Contracts for Medicare Advantage Organizations

08/30/2023 42 CFR 422.520

Prompt Payment by MA organization

Prompt Payment Deadlines-Med. Adv.
Federal Law

Title 42-Chapter IV-Subchapter B-Part 422-Subpart M. Grievances, Organization Determinations and Appeals

08/30/2023 42 CFR 422.618

How an MA organization must effectuate standard reconsidered determinations or decisions.

Med. Adv.-Med. Nec. Appeals-Deadlines, Prompt Payment Deadlines-Med. Adv.