Title 20

PART 30 SUBPART H

Subpart H - Information for Medical Providers

• 5 U.S.C. 301; 31 U.S.C. 3716 and 3717; 42 U.S.C. 7384d, 7384t, 7384u and 7385s-10; Executive Order 13179, 65 FR 77487, 3 CFR, 2000 Comp., p. 321; Secretary of Labor's Order No. 10-2009, 74 FR 58834.
• 71 FR 78534, Dec. 29, 2006, unless otherwise noted.

20:1.0.1.3.4.8.145	SUBJGRP 145	Medical Records and Bills
20:1.0.1.3.4.8.145.1	SECTION 30.700	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
20:1.0.1.3.4.8.145.2	SECTION 30.701	30.701 How are medical bills to be submitted
20:1.0.1.3.4.8.145.3	SECTION 30.702	30.702 How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses
20:1.0.1.3.4.8.145.4	SECTION 30.703	30.703 What are the time limitations on OWCP's payment of bills
20:1.0.1.3.4.8.146	SUBJGRP 146	Medical Fee Schedule
20:1.0.1.3.4.8.146.5	SECTION 30.705	30.705 What services are covered by the OWCP fee schedule
20:1.0.1.3.4.8.146.6	SECTION 30.706	30.706 How are the maximum fees for professional medical services defined
20:1.0.1.3.4.8.146.7	SECTION 30.707	30.707 How are payments to providers calculated
20:1.0.1.3.4.8.146.8	SECTION 30.708	30.708 Does the fee schedule apply to every kind of procedure
20:1.0.1.3.4.8.146.9	SECTION 30.709	30.709 How are payments for medicinal drugs determined
20:1.0.1.3.4.8.146.10	SECTION 30.710	30.710 How are payments for inpatient medical services determined
20:1.0.1.3.4.8.146.11	SECTION 30.711	30.711 How are payments for outpatient medical services determined
20:1.0.1.3.4.8.146.12	SECTION 30.712	30.712 When and how are fees reduced
20:1.0.1.3.4.8.146.13	SECTION 30.713	30.713 If OWCP reduces a fee, may a provider request reconsideration of the reduction
20:1.0.1.3.4.8.146.14	SECTION 30.714	30.714 If OWCP reduces a fee, may a provider bill the employee for the balance
20:1.0.1.3.4.8.147	SUBJGRP 147	Exclusion of Providers
20:1.0.1.3.4.8.147.15	SECTION 30.715	30.715 What are the grounds for excluding a provider from payment under this part
20:1.0.1.3.4.8.147.16	SECTION 30.716	30.716 What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies
20:1.0.1.3.4.8.147.17	SECTION 30.717	30.717 When are OWCP's exclusion procedures initiated
20:1.0.1.3.4.8.147.18	SECTION 30.718	30.718 How is a provider notified of OWCP's intent to exclude him or her
20:1.0.1.3.4.8.147.19	SECTION 30.719	30.719 What requirements must the provider's response and OWCP's decision meet
20:1.0.1.3.4.8.147.20	SECTION 30.720	30.720 How can an excluded provider request a hearing
20:1.0.1.3.4.8.147.21	SECTION 30.721	30.721 How are hearings assigned and scheduled
20:1.0.1.3.4.8.147.22	SECTION 30.722	30.722 How are subpoenas or advisory opinions obtained
20:1.0.1.3.4.8.147.23	SECTION 30.723	30.723 How will the administrative law judge conduct the hearing and issue the recommended decision
20:1.0.1.3.4.8.147.24	SECTION 30.724	30.724 How does a recommended decision become final
20:1.0.1.3.4.8.147.25	SECTION 30.725	30.725 What are the effects of non-automatic exclusion
20:1.0.1.3.4.8.147.26	SECTION 30.726	30.726 How can an excluded provider be reinstated

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