|
1128A (a)(1)(A) |
1320a-7a(a)(1)(A) |
1003.200(a)(1) |
Claims for items or services not provided as claimed |
|
1128A (a)(1)(B) |
1320a-7a(a)(1)(B) |
1003.200(a)(2) |
False or fraudulent claims |
|
1128A (a)(1)(C) |
1320a-7a(a)(1)(C) |
1003.200(a)(4) |
Claims for physician services not furnished or supervised by a licensed physician |
|
1128A (a)(1)(D) |
1320a-7a(a)(1)(D) |
1003.200(a)(3) |
Claims for items or services furnished by an excluded person |
|
1128A (a)(1)(E) |
1320a-7a(a)(1)(E) |
1003.200(a)(5) |
Pattern of claims for medical or other items or services not medically necessary |
|
1128A (a)(2) |
1320a-7a(a)(2) |
1003.200(b)(1) |
Assignment agreement, participating physician or supplier agreement violation |
|
1128A (a)(4) |
1320a-7a(a)(4) |
1003.200(b)(3) |
Excluded party retaining ownership or control interest in participating entity |
|
1128A (a)(5) |
1320a-7a(a)(5) |
1003.1000 |
Remuneration offered to induce program beneficiaries to use particular providers, practitioners, or suppliers |
|
1128A (a)(6) |
1320a-7a(a)(6) |
1003.200(b)(4) |
Employing, arranging or contracting with an excluded individual |
|
1128A (a)(7) |
1320a-7a(a)(7) |
1003.300 |
Improper remuneration to induce referrals |
|
1128A (a)(8) |
1320a-7a(a)(8) |
1003.200(b)(6) |
Ordering or prescribing while excluded |
|
1128A (a)(9) |
1320a-7a(a)(9) |
1003.200(b)(7) |
Making false statements, omissions, misrepresentations in an enrollment application |
|
1128A (a)(10) |
1320a-7a(a)(10) |
1003.200(b)(8) |
Known retention of an overpayment |
|
1128A (a)[11](8) |
1320a-7a(a)[11](8) |
1003.200(b)(9) |
End of
Translation
Making or using a false record or statement that is material to a false or fraudulent claim |
|
1128A(a)[12](9) |
1320a-7a(a)[12](9) |
1003.200(b)(10) |
Failure to grant timely access to OIG for audits, investigations, evaluations, or other statutory functions of OIG |
|
1140(b) |
1320b-10(b) |
1003.600 |
Misuse of Departmental symbols/emblems |
|
1867(d)(1) |
1395dd(d)(1) |
1003.500 |
Dumping by hospital or responsible physician of patients needing emergency medical care |
|
1877(g)(3) |
1395nn(g)(3) |
1003.300 |
Presenting claims for designated health services furnished while in a prohibited financial relationship |
|
1877(g)(4) |
1395nn(g)(4) |
1003.300 |
Circumventing physician financial relationship restrictions |
|
1927(b)(3)(B) |
1396r-8(b)(3)(B) |
1003.1200 |
False information on a drug manufacturer survey from manufacturer, wholesaler, or seller |
|
1927(b)(3)(C) |
1396r-8(b)(3)(C) |
1003.1200 |
Provision of untimely or false information by a drug manufacturer with rebate agreement |
