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  • Code of Federal Regulations
  • C.F.R. Title 42—Public Health
  • CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  • SUBCHAPTER B—OIG AUTHORITIES
  • PART 1001—PROGRAM INTEGRITY—MEDICARE AND STATE HEALTH CARE PROGRAMS
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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.

About SCCE

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

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The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

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