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Regulations last checked for updates: Nov 22, 2024
Title 20 - Employees' Benefits last revised: Sep 30, 2024
All Titles
Title 20
Chapter I
Part 30
Subpart H - Subpart H—Information for Medical Providers
MEDICAL RECORDS AND BILLS
§ 30.700 - In general, what responsibilities do providers have with respect to enrolling with OWCP, seeking authorization to provide services, billing, and retaining medical records?
§ 30.701 - How are medical bills to be submitted?
§ 30.702 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?
§ 30.703 - What are the time limitations on OWCP's payment of bills?
MEDICAL FEE SCHEDULE
§ 30.705 - What services are covered by the OWCP fee schedule?
§ 30.706 - How are the maximum fees for professional medical services defined?
§ 30.707 - How are payments to providers calculated?
§ 30.708 - Does the fee schedule apply to every kind of procedure?
§ 30.709 - How are payments for medicinal drugs determined?
§ 30.710 - How are payments for inpatient medical services determined?
§ 30.711 - How are payments for outpatient medical services determined?
§ 30.712 - When and how are fees reduced?
§ 30.713 - If OWCP reduces a fee, may a provider request reconsideration of the reduction?
§ 30.714 - If OWCP reduces a fee, may a provider bill the employee for the balance?
EXCLUSION OF PROVIDERS
§ 30.715 - What are the grounds for excluding a provider from payment under this part?
§ 30.716 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
§ 30.717 - When are OWCP's exclusion procedures initiated?
§ 30.718 - How is a provider notified of OWCP's intent to exclude him or her?
§ 30.719 - What requirements must the provider's response and OWCP's decision meet?
§ 30.720 - How can an excluded provider request a hearing?
§ 30.721 - How are hearings assigned and scheduled?
§ 30.722 - How are subpoenas or advisory opinions obtained?
§ 30.723 - How will the administrative law judge conduct the hearing and issue the recommended decision?
§ 30.724 - How does a recommended decision become final?
§ 30.725 - What are the effects of non-automatic exclusion?
§ 30.726 - How can an excluded provider be reinstated?
authority:
5 U.S.C. 301
;
31 U.S.C. 3716
and 3717;
42 U.S.C. 7384d
,
7384t
,
7384u
; Executive Order 13179, 65 FR 77487, 3 CFR, 2000 Comp., p. 321; Secretary of Labor's Order No. 10-2009, 74 FR 58834
source:
71 FR 78534, Dec. 29, 2006, unless otherwise noted.
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