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Permissive Exclusions | Midpage
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Code of Federal Regulations
Title 42
Chapter V
Subchapter B
Part 1001
Subpart C
Permissive Exclusions
1001.201
Conviction relating to program or health care fraud.
1001.301
Conviction relating to obstruction of an investigation or audit.
1001.401
Conviction relating to controlled substances.
1001.501
License revocation or suspension.
1001.601
Exclusion or suspension under a Federal or State health care program.
1001.701
Excessive claims or furnishing of unnecessary or substandard items and services.
1001.801
Failure of HMOs and CMPs to furnish medically necessary items and services.
1001.901
False or improper claims.
1001.951
Fraud and kickbacks and other prohibited activities.
1001.952
Exceptions.
1001.1001
Exclusion of entities owned or controlled by a sanctioned person.
1001.1101
Failure to disclose certain information.
1001.1201
Failure to provide payment information.
1001.1301
Failure to grant immediate access.
1001.1401
Violations of PPS corrective action.
1001.1501
Default of health education loan or scholarship obligations.
1001.1551
Exclusion of individuals with ownership or control interest in sanctioned entities.
1001.1552
Making false statements or misrepresentation of material facts.
1001.1601
Violations of the limitations on physician charges.
1001.1701
Billing for services of assistant at surgery during cataract operations.
Appendix A to Subpart C of Part 1001
42 C.F.R. Appendix A to Subpart C of Part 1001