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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.

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Federal Law

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

11/18/2024 42 CFR Section 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

11/25/2024 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.