42 CFR - Code of Federal Regulations - Title 42: Public Health

CHAPTER V: OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER A: GENERAL PROVISIONS

PART 1000: INTRODUCTION; GENERAL DEFINITIONS

Subpart B: Definitions

42 CFR 1000.30 - Definitions specific to Medicaid.

42 CFR 1000.10 - General definitions.

42 CFR 1000.20 - Definitions specific to Medicare.

SUBCHAPTER B: OIG AUTHORITIES

PART 1001: PROGRAM INTEGRITY-MEDICARE AND STATE HEALTH CARE PROGRAMS

Subpart A: General Provisions

42 CFR 1001.1 - Scope and purpose.

42 CFR 1001.2 - Definitions.

Subpart B: Mandatory Exclusions

42 CFR 1001.102 - Length of exclusion.

42 CFR 1001.101 - Basis for liability.

Subpart C: Permissive Exclusions

42 CFR Appendix A to Subpart C of Part 1001

42 CFR 1001.1701 - Billing for services of assistant at surgery during cataract operations.

42 CFR 1001.801 - Failure of HMOs and CMPs to furnish medically necessary items and services.

42 CFR 1001.1051 - Exclusion of individuals with ownership or control interest in sanctioned entities.

42 CFR 1001.501 - License revocation or suspension.

42 CFR 1001.1401 - Violations of PPS corrective action.

42 CFR 1001.901 - False or improper claims.

42 CFR 1001.201 - Conviction relating to program or health care fraud.

42 CFR 1001.1101 - Failure to disclose certain information.

42 CFR 1001.601 - Exclusion or suspension under a Federal or State health care program.

42 CFR 1001.1501 - Default of health education loan or scholarship obligations.

42 CFR 1001.951 - Fraud and kickbacks and other prohibited activities.

42 CFR 1001.301 - Conviction relating to obstruction of an investigation.

42 CFR 1001.1201 - Failure to provide payment information.

42 CFR 1001.701 - Excessive claims or furnishing of unnecessary or substandard items and services.

42 CFR 1001.1601 - Violations of the limitations on physician charges.

42 CFR 1001.1001 - Exclusion of entities owned or controlled by a sanctioned person.

42 CFR 1001.952 - Exceptions.

42 CFR 1001.401 - Conviction relating to controlled substances.

42 CFR 1001.1301 - Failure to grant immediate access.

Subpart D: Waivers and Effect of Exclusion

42 CFR 1001.1801 - Waivers of exclusions.

42 CFR 1001.1901 - Scope and effect of exclusion.

Subpart E: Notice and Appeals

42 CFR 1001.2002 - Notice of exclusion.