Section 1001.1
|
Definitions |
Section 1001.2
|
Basis for liability |
Section 1001.101
|
Length of exclusion |
Section 1001.102
|
Conviction relating to program or health care fraud |
Section 1001.201
|
Conviction relating to obstruction of an investigation |
Section 1001.301
|
Conviction relating to controlled substances |
Section 1001.401
|
License revocation or suspension |
Section 1001.501
|
Exclusion or suspension under a Federal or State health care program |
Section 1001.601
|
Excessive claims or furnishing of unnecessary or substandard items and services |
Section 1001.701
|
Failure of HMOs and CMPs to furnish medically necessary items and services |
Section 1001.801
|
False or improper claims |
Section 1001.901
|
Fraud and kickbacks and other prohibited activities |
Section 1001.951
|
Exceptions |
Section 1001.952
|
Exclusion of entities owned or controlled by a sanctioned person |
Section 1001.1001
|
Exclusion of individuals with ownership or control interest in sanctioned entities |
Section 1001.1051
|
Failure to disclose certain information |
Section 1001.1101
|
Failure to provide payment information |
Section 1001.1201
|
Failure to grant immediate access |
Section 1001.1301
|
Violations of PPS corrective action |
Section 1001.1401
|
Default of health education loan or scholarship obligations |
Section 1001.1501
|
Violations of the limitations on physician charges |
Section 1001.1601
|
Billing for services of assistant at surgery during cataract operations |
Section 1001.1701
|
Waivers of exclusions |
Section 1001.1801
|
Scope and effect of exclusion |
Section 1001.1901
|
Notice of intent to exclude |
Section 1001.2001
|
Notice of exclusion |
Section 1001.2002
|
Notice of proposal to exclude |
Section 1001.2003
|
Notice to State agencies |
Section 1001.2004
|
Notice to State licensing agencies |
Section 1001.2005
|
Notice to others regarding exclusion |
Section 1001.2006
|
Appeal of exclusions |
Section 1001.2007
|
Timing and method of request for reinstatement |
Section 1001.3001
|
Basis for reinstatement |
Section 1001.3002
|
Approval of request for reinstatement |
Section 1001.3003
|
Denial of request for reinstatement |
Section 1001.3004
|
Reversed or vacated decisions |
Section 1001.3005
|
Scope and purpose |