Table of Contents

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

SUBCHAPTER B: OIG AUTHORITIES


PART 1003: CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS


42 CFR 1003.103 - Amount of penalty.

42 CFR 1003.128 - Collection of penalty and assessment.

42 CFR 1003.107 - Determinations regarding exclusion.

42 CFR 1003.100 - Basis and purpose.

42 CFR 1003.134 - Effect of exclusion.

42 CFR 1003.114 - Collateral estoppel.

42 CFR 1003.104 - Amount of assessment.

42 CFR 1003.129 - Notice to other agencies.

42 CFR 1003.108 - Penalty, assessment, and exclusion not exclusive.

42 CFR 1003.101 - Definitions.

PART 1004: IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION


Subpart A: General Provisions


42 CFR 1004.1 - Scope and definitions.

Subpart B: Sanctions Under the QIO Program; General Provisions


42 CFR 1004.10 - Statutory obligations of practitioners and other persons.

42 CFR 1004.20 - Sanctions.

Subpart C: QIO Responsibilities


42 CFR 1004.30 - Basic responsibilities.

42 CFR 1004.70 - QIO action on final finding of a violation.

42 CFR 1004.40 - Action on identification of a violation.

42 CFR 1004.80 - QIO report to the OIG.

42 CFR 1004.50 - Meeting with a practitioner or other person.

42 CFR 1004.90 - Basis for recommended sanction.

42 CFR 1004.60 - QIO finding of a violation.

Subpart D: OIG Responsibilities


42 CFR 1004.100 - Acknowledgement and review of report.

42 CFR 1004.110 - Notice of sanction.

Subpart E: Effect and Duration of Exclusion


42 CFR 1004.120 - Effect of an exclusion on program payments and services.

42 CFR 1004.130 - Reinstatement after exclusion.

Subpart F: Appeals


42 CFR 1004.140 - Appeal rights.

PART 1005: APPEALS OF EXCLUSIONS, CIVIL MONEY PENALTIES AND ASSESSMENTS


42 CFR 1005.4 - Authority of the ALJ.

42 CFR 1005.19 - Post-hearing briefs.

42 CFR 1005.11 - Form, filing and service of papers.

42 CFR 1005.8 - Exchange of witness lists, witness statements and exhibits.

42 CFR 1005.22 - Stay of initial decision.

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