42 CFR § 476.70 - Statutory bases and applicability.
(a) Statutory bases. Sections 1154, 1866(a)(1)(F), and 1886(f)(2) of the Act require that a QIO review those services furnished by physicians, other health care professionals, providers and suppliers as specified in its contract with the Secretary.
(b) Applicability. The regulations in this subpart apply to review conducted by a QIO and its subcontractors.