42 CFR Part 1001 — Program Integrity—Medicare and State Health Care Programs
Subpart A — General Provisions
Subpart B — Mandatory Exclusions
Subpart C — Permissive Exclusions
- § 1001.201— Conviction relating to program or health care fraud.
- § 1001.301— Conviction relating to obstruction of an investigation or audit.
- § 1001.401— Conviction relating to controlled substances.
- § 1001.501— License revocation or suspension.
- § 1001.601— Exclusion or suspension under a Federal or State health care program.
- § 1001.701— Excessive claims or furnishing of unnecessary or substandard items and services.
- § 1001.801— Failure of HMOs and CMPs to furnish medically necessary items and services.
- § 1001.901— False or improper claims.
- § 1001.951— Fraud and kickbacks and other prohibited activities.
- § 1001.952— Exceptions.
- § 1001.1001— Exclusion of entities owned or controlled by a sanctioned person.
- § 1001.1101— Failure to disclose certain information.
- § 1001.1201— Failure to provide payment information.
- § 1001.1301— Failure to grant immediate access.
- § 1001.1401— Violations of PPS corrective action.
- § 1001.1501— Default of health education loan or scholarship obligations.
- § 1001.1551— Exclusion of individuals with ownership or control interest in sanctioned entities.
- § 1001.1552— Making false statements or misrepresentation of material facts.
- § 1001.1601— Violations of the limitations on physician charges.
- § 1001.1701— Billing for services of assistant at surgery during cataract operations.