Exclusion of Providers

§ 10.815 - What are the grounds for excluding a provider from payment under the FECA?

§ 10.816 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?

§ 10.817 - How are OWCP's exclusion procedures initiated?

§ 10.818 - How is a provider notified of OWCP's intent to exclude him or her?

§ 10.819 - What requirements must the provider's answer and OWCP's decision meet?

§ 10.820 - How can an excluded provider request a hearing?

§ 10.821 - How are hearings assigned and scheduled?

§ 10.822 - How are subpoenas or advisory opinions obtained?

§ 10.823 - How will the administrative law judge conduct the hearing and issue the recommended decision?

§ 10.824 - How does the recommended decision become final?

§ 10.825 - What are the effects of exclusion?

§ 10.826 - How can an excluded provider be reinstated?

Medical Fee Schedule

§ 10.805 - What services are covered by the OWCP fee schedule?

§ 10.806 - How are the maximum fees defined?

§ 10.807 - How are payments for particular services calculated?

§ 10.808 - Does the fee schedule apply to every kind of procedure?

§ 10.809 - How are payments for medicinal drugs determined?

§ 10.810 - How are payments for inpatient medical services determined?

§ 10.811 - When and how are fees reduced?

§ 10.812 - If OWCP reduces a fee, may a provider request reconsideration of the reduction?

§ 10.813 - If OWCP reduces a fee, may a provider bill the claimant for the balance?

Medical Records and Bills

§ 10.800 - How do providers enroll with OWCP for authorizations and billing?

§ 10.801 - How are medical bills to be submitted?

§ 10.802 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses?

§ 10.803 - What are the time limitations on OWCP's payment of bills?