Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 20 - Employees' Benefits |
Chapter I - Office of Workers' Compensation Programs, Department of Labor |
SubChapter C - Energy Employees Occupational Illness Compensation Program Act of 2000 |
Part 30 - Claims for Compensation Under the Energy Employees Occupational Illness Compensation Program Act of 2000, as Amended |
Subpart H - Information for Medical Providers |
Medical Records and Bills |
§ 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? |
§ 30.701 - How are medical bills to be submitted? |
§ 30.702 - How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses? |
§ 30.703 - What are the time limitations on OWCP's payment of bills? |
Medical Fee Schedule |
§ 30.705 - What services are covered by the OWCP fee schedule? |
§ 30.706 - How are the maximum fees for professional medical services defined? |
§ 30.707 - How are payments to providers calculated? |
§ 30.708 - Does the fee schedule apply to every kind of procedure? |
§ 30.709 - How are payments for medicinal drugs determined? |
§ 30.710 - How are payments for inpatient medical services determined? |
§ 30.711 - How are payments for outpatient medical services determined? |
§ 30.712 - When and how are fees reduced? |
§ 30.713 - If OWCP reduces a fee, may a provider request reconsideration of the reduction? |
§ 30.714 - If OWCP reduces a fee, may a provider bill the employee for the balance? |
Exclusion of Providers |
§ 30.715 - What are the grounds for excluding a provider from payment under this part? |
§ 30.716 - What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies? |
§ 30.717 - When are OWCP's exclusion procedures initiated? |
§ 30.718 - How is a provider notified of OWCP's intent to exclude him or her? |
§ 30.719 - What requirements must the provider's response and OWCP's decision meet? |
§ 30.720 - How can an excluded provider request a hearing? |
§ 30.721 - How are hearings assigned and scheduled? |
§ 30.722 - How are subpoenas or advisory opinions obtained? |
§ 30.723 - How will the administrative law judge conduct the hearing and issue the recommended decision? |
§ 30.724 - How does a recommended decision become final? |
§ 30.725 - What are the effects of non-automatic exclusion? |
§ 30.726 - How can an excluded provider be reinstated? |