Subpart H. Subpart H—Information for Medical Providers
Medical Records and Bills
- SECTION § 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?
- SECTION § 30.701 - How are medical bills to be submitted?
- SECTION § 30.702 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?
- SECTION § 30.703 - What are the time limitations on OWCP's payment of bills?
Medical Fee Schedule
- SECTION § 30.705 - What services are covered by the OWCP fee schedule?
- SECTION § 30.706 - How are the maximum fees for professional medical services defined?
- SECTION § 30.707 - How are payments to providers calculated?
- SECTION § 30.708 - Does the fee schedule apply to every kind of procedure?
- SECTION § 30.709 - How are payments for medicinal drugs determined?
- SECTION § 30.710 - How are payments for inpatient medical services determined?
- SECTION § 30.711 - How are payments for outpatient medical services determined?
- SECTION § 30.712 - When and how are fees reduced?
- SECTION § 30.713 - If OWCP reduces a fee, may a provider request reconsideration of the reduction?
- SECTION § 30.714 - If OWCP reduces a fee, may a provider bill the employee for the balance?
Exclusion of Providers
- SECTION § 30.715 - What are the grounds for excluding a provider from payment under this part?
- SECTION § 30.716 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
- SECTION § 30.717 - When are OWCP's exclusion procedures initiated?
- SECTION § 30.718 - How is a provider notified of OWCP's intent to exclude him or her?
- SECTION § 30.719 - What requirements must the provider's response and OWCP's decision meet?
- SECTION § 30.720 - How can an excluded provider request a hearing?
- SECTION § 30.721 - How are hearings assigned and scheduled?
- SECTION § 30.722 - How are subpoenas or advisory opinions obtained?
- SECTION § 30.723 - How will the administrative law judge conduct the hearing and issue the recommended decision?
- SECTION § 30.724 - How does a recommended decision become final?
- SECTION § 30.725 - What are the effects of non-automatic exclusion?
- SECTION § 30.726 - How can an excluded provider be reinstated?