§ 426.400 Procedure for filing an acceptable complaint concerning a provision (or provisions) of an LCD
§ 426.403 Submitting new evidence once an acceptable complaint is filed
§ 426.405 Authority of the ALJ
§ 426.406 Ex parte contacts
§ 426.410 Docketing and evaluating the acceptability of LCD complaints
§ 426.415 CMS’ role in the LCD review
§ 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review
§ 426.417 Contractor’s statement regarding new evidence
§ 426.418 LCD record furnished to aggrieved party
§ 426.419 LCD record furnished to the ALJ
§ 426.420 Retiring or revising an LCD under review
§ 426.423 Withdrawing a complaint regarding an LCD under review
§ 426.425 LCD review
§ 426.431 ALJ’s review of the LCD to apply the reasonableness standard
§ 426.432 Discovery
§ 426.435 Subpoenas
§ 426.440 Evidence
§ 426.444 Dismissals for cause
§ 426.445 Witness fees
§ 426.446 Record of hearing
§ 426.447 Issuance and notification of an ALJ’s decision
§ 426.450 Mandatory provisions of an ALJ’s decision
§ 426.455 Prohibited provisions of an ALJ’s decision
§ 426.457 Optional provisions of an ALJ’s decision
§ 426.458 ALJ’s LCD review record
§ 426.460 Effect of an ALJ’s decision
§ 426.462 Notice of an ALJ’s decision
§ 426.463 Future new or revised LCDs
§ 426.465 Appealing part or all of an ALJ’s decision
§ 426.468 Decision to not appeal an ALJ’s decision
§ 426.470 Board’s role in docketing and evaluating the acceptability of appeals of ALJ decisions
§ 426.476 Board review of an ALJ’s decision
§ 426.478 Retiring or revising an LCD during the Board’s review of an ALJ’s decision
§ 426.480 Withdrawing an appeal of an ALJ’s decision
§ 426.482 Issuance and notification of a Board decision
§ 426.484 Mandatory provisions of a Board decision
§ 426.486 Prohibited provisions of a Board decision
§ 426.487 Board’s record on appeal of an ALJ’s decision
§ 426.488 Effect of a Board decision
§ 426.489 Board remands
§ 426.490 Board decision

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 426 > Subpart D - Review of an Lcd

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Dismissal: The dropping of a case by the judge without further consideration or hearing. Source:
  • Docket: A log containing brief entries of court proceedings.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Oral argument: An opportunity for lawyers to summarize their position before the court and also to answer the judges' questions.
  • Recess: A temporary interruption of the legislative business.
  • Remand: When an appellate court sends a case back to a lower court for further proceedings.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Subpoena: A command to a witness to appear and give testimony.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.