Title 42

PART 1004

Part 1004 - Imposition Of Sanctions On Health Care Practitioners And Providers Of Health Care Services By A Quality Improvement Organization

PART 1004 - IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION Authority:42 U.S.C. 1302 and 1320c-5. Source:60 FR 63640, Dec. 12, 1995, unless otherwise noted.

• Authority: 42 U.S.C. 1302 and 1320c-5.
• Source: 60 FR 63640, Dec. 12, 1995, unless otherwise noted.

42:5.0.2.5.5.1	SUBPART A	Subpart A - General Provisions
42:5.0.2.5.5.1.69.1	SECTION 1004.1	1004.1 Scope and definitions.
42:5.0.2.5.5.2	SUBPART B	Subpart B - Sanctions Under the QIO Program; General Provisions
42:5.0.2.5.5.2.69.1	SECTION 1004.10	1004.10 Statutory obligations of practitioners and other persons.
42:5.0.2.5.5.2.69.2	SECTION 1004.20	1004.20 Sanctions.
42:5.0.2.5.5.3	SUBPART C	Subpart C - QIO Responsibilities
42:5.0.2.5.5.3.69.1	SECTION 1004.30	1004.30 Basic responsibilities.
42:5.0.2.5.5.3.69.2	SECTION 1004.40	1004.40 Action on identification of a violation.
42:5.0.2.5.5.3.69.3	SECTION 1004.50	1004.50 Meeting with a practitioner or other person.
42:5.0.2.5.5.3.69.4	SECTION 1004.60	1004.60 QIO finding of a violation.
42:5.0.2.5.5.3.69.5	SECTION 1004.70	1004.70 QIO action on final finding of a violation.
42:5.0.2.5.5.3.69.6	SECTION 1004.80	1004.80 QIO report to the OIG.
42:5.0.2.5.5.3.69.7	SECTION 1004.90	1004.90 Basis for recommended sanction.
42:5.0.2.5.5.4	SUBPART D	Subpart D - OIG Responsibilities
42:5.0.2.5.5.4.69.1	SECTION 1004.100	1004.100 Acknowledgement and review of report.
42:5.0.2.5.5.4.69.2	SECTION 1004.110	1004.110 Notice of sanction.
42:5.0.2.5.5.5	SUBPART E	Subpart E - Effect and Duration of Exclusion
42:5.0.2.5.5.5.69.1	SECTION 1004.120	1004.120 Effect of an exclusion on program payments and services.
42:5.0.2.5.5.5.69.2	SECTION 1004.130	1004.130 Reinstatement after exclusion.
42:5.0.2.5.5.6	SUBPART F	Subpart F - Appeals
42:5.0.2.5.5.6.69.1	SECTION 1004.140	1004.140 Appeal rights.

---