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Regulations last checked for updates: May 18, 2024
Title 20 - Employees' Benefits last revised: May 03, 2024
All Titles
Title 20
Chapter I
Part 10
Subpart I - Subpart I—Information for Medical Providers
MEDICAL RECORDS AND BILLS
§ 10.800 - How do providers enroll with OWCP for authorizations and billing?
§ 10.801 - How are medical bills to be submitted?
§ 10.802 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?
§ 10.803 - What are the time limitations on OWCP's payment of bills?
MEDICAL FEE SCHEDULE
§ 10.805 - What services are covered by the OWCP fee schedule?
§ 10.806 - How are the maximum fees defined?
§ 10.807 - How are payments for particular services calculated?
§ 10.808 - Does the fee schedule apply to every kind of procedure?
§ 10.809 - How are payments for medicinal drugs determined?
§ 10.810 - How are payments for inpatient medical services determined?
§ 10.811 - When and how are fees reduced?
§ 10.812 - If OWCP reduces a fee, may a provider request reconsideration of the reduction?
§ 10.813 - If OWCP reduces a fee, may a provider bill the claimant for the balance?
EXCLUSION OF PROVIDERS
§ 10.815 - What are the grounds for excluding a provider from payment under the FECA?
§ 10.816 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
§ 10.817 - How are OWCP's exclusion procedures initiated?
§ 10.818 - How is a provider notified of OWCP's intent to exclude him or her?
§ 10.819 - What requirements must the provider's answer and OWCP's decision meet?
§ 10.820 - How can an excluded provider request a hearing?
§ 10.821 - How are hearings assigned and scheduled?
§ 10.822 - How are subpoenas or advisory opinions obtained?
§ 10.823 - How will the administrative law judge conduct the hearing and issue the recommended decision?
§ 10.824 - How does the recommended decision become final?
§ 10.825 - What are the effects of exclusion?
§ 10.826 - How can an excluded provider be reinstated?
authority:
5 U.S.C. 301
,
8102a
,
8103
,
8145
;
31 U.S.C. 3716
and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218; Pub. L. 117-263
source:
76 FR 37903, June 28, 2011, unless otherwise noted.
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