96-911. Health Care Programs: Fraud and Abuse; Revisions to the PRO Sanctions Process

[Federal Register Volume 61, Number 16 (Wednesday, January 24, 1996)]
[Rules and Regulations]
[Pages 1841-1842]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-911]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of Inspector General

42 CFR Part 1004

RIN 0991-AA73


Health Care Programs: Fraud and Abuse; Revisions to the PRO 
Sanctions Process

AGENCY: Office of Inspector General (OIG), HHS.

ACTION: Correction to final regulations.

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SUMMARY: This document corrects a technical error that appeared in 42 
CFR part 1004 of the final rule published in the Federal Register on 
December 12, 1995 (60 FR 63634). The final rule was designed to revise 
and update the procedures governing the imposition and adjudication of 
program sanctions predicated on recommendations of State Utilization 
and Quality Control Peer Review Organizations. Specifically, this 
correction notice sets forth the corrected text for section 1004.110(f) 
which contained a typographical error in subparagraph (2).

EFFECTIVE DATE: January 24, 1996.

FOR FURTHER INFORMATION CONTACT: Joel J. Schaer, [phone].

SUPPLEMENTARY INFORMATION: In the OIG final regulations published in 
the Federal Register on December 12, 1995, revising 42 CFR part 1004, a 
technical error was inadvertently made on page 63644, column one, in 
setting forth the text in section 1004.110, Notice of sanction. As 
corrected, section 1004.110(f) should read as follows:


Sec. 1004.110  Notice of sanction.

* * * * *
    (f) If an exclusion sanction is effectuated because a decision was 
not made within 120 days after receipt of the PRO recommendation, 
notification is as follows--
    (1) As soon as possible after the 120th day, the OIG will issue a 
notice to the practitioner or other person, in compliance with the 
requirements of paragraph (c) of this section, affirming the PRO 
recommendation based on the OIG's review of the case, and that the 
exclusion is effective 20 days from the date of the notice; and
    (2) Notice of sanction is also provided as specified in paragraph 
(e) of this section.


[[Page 1842]]

    Dated: January 17, 1996.
Joel Jay Schaer,
Regulations Officer.
[FR Doc. 96-911 Filed 1-23-96; 8:45 am]
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