Title 20

PART 10 SUBPART I

Subpart I - Information for Medical Providers

• 5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 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.
• 76 FR 37903, June 28, 2011, unless otherwise noted.

20:1.0.1.2.2.9.74	SUBJGRP 74	Medical Records and Bills
20:1.0.1.2.2.9.74.1	SECTION 10.800	10.800 How do providers enroll with OWCP for authorizations and billing
20:1.0.1.2.2.9.74.2	SECTION 10.801	10.801 How are medical bills to be submitted
20:1.0.1.2.2.9.74.3	SECTION 10.802	10.802 How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses
20:1.0.1.2.2.9.74.4	SECTION 10.803	10.803 What are the time limitations on OWCP's payment of bills
20:1.0.1.2.2.9.75	SUBJGRP 75	Medical Fee Schedule
20:1.0.1.2.2.9.75.5	SECTION 10.805	10.805 What services are covered by the OWCP fee schedule
20:1.0.1.2.2.9.75.6	SECTION 10.806	10.806 How are the maximum fees defined
20:1.0.1.2.2.9.75.7	SECTION 10.807	10.807 How are payments for particular services calculated
20:1.0.1.2.2.9.75.8	SECTION 10.808	10.808 Does the fee schedule apply to every kind of procedure
20:1.0.1.2.2.9.75.9	SECTION 10.809	10.809 How are payments for medicinal drugs determined
20:1.0.1.2.2.9.75.10	SECTION 10.810	10.810 How are payments for inpatient medical services determined
20:1.0.1.2.2.9.75.11	SECTION 10.811	10.811 When and how are fees reduced
20:1.0.1.2.2.9.75.12	SECTION 10.812	10.812 If OWCP reduces a fee, may a provider request reconsideration of the reduction
20:1.0.1.2.2.9.75.13	SECTION 10.813	10.813 If OWCP reduces a fee, may a provider bill the claimant for the balance
20:1.0.1.2.2.9.76	SUBJGRP 76	Exclusion of Providers
20:1.0.1.2.2.9.76.14	SECTION 10.815	10.815 What are the grounds for excluding a provider from payment under the FECA
20:1.0.1.2.2.9.76.15	SECTION 10.816	10.816 What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies
20:1.0.1.2.2.9.76.16	SECTION 10.817	10.817 How are OWCP's exclusion procedures initiated
20:1.0.1.2.2.9.76.17	SECTION 10.818	10.818 How is a provider notified of OWCP's intent to exclude him or her
20:1.0.1.2.2.9.76.18	SECTION 10.819	10.819 What requirements must the provider's answer and OWCP's decision meet
20:1.0.1.2.2.9.76.19	SECTION 10.820	10.820 How can an excluded provider request a hearing
20:1.0.1.2.2.9.76.20	SECTION 10.821	10.821 How are hearings assigned and scheduled
20:1.0.1.2.2.9.76.21	SECTION 10.822	10.822 How are subpoenas or advisory opinions obtained
20:1.0.1.2.2.9.76.22	SECTION 10.823	10.823 How will the administrative law judge conduct the hearing and issue the recommended decision
20:1.0.1.2.2.9.76.23	SECTION 10.824	10.824 How does the recommended decision become final
20:1.0.1.2.2.9.76.24	SECTION 10.825	10.825 What are the effects of exclusion
20:1.0.1.2.2.9.76.25	SECTION 10.826	10.826 How can an excluded provider be reinstated

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