|
Subscribe to E-mail Updates
|
|
Code of Federal Regulations Pertaining to ESA |
| Employees' Benefits |
|
| Office of Workers' Compensation Programs, Department of Labor |
|
|
| Claims for Compensation Under the Federal Employees' Compensation Act, As Amended |
|
|
|
| Subpart I | Information for Medical Providers |
Sec.
Name
What kind of medical records must providers keep? Medical Records and Bills
How are medical bills to be submitted?
How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental
What are the time limitations on OWCP's payment of bills?
What services are covered by the OWCP fee schedule?
How are the maximum fees defined?
How are payments for particular services calculated?
Does the fee schedule apply to every kind of procedure?
How are payments for medicinal drugs determined?
How are payments for inpatient medical services determined?
When and how are fees reduced?
If OWCP reduces a fee, may a provider request reconsideration of the reduction?
If OWCP reduces a fee, may a provider bill the claimant for the balance?
What are the grounds for excluding a provider from payment under the FECA?
What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies?
When are OWCP's exclusion procedures initiated?
How is a provider notified of OWCP's intent to exclude him or her?
What requirements must the provider's reply and OWCP's decision meet?
How can an excluded provider request a hearing?
How are hearings assigned and scheduled?
How are subpoenas or advisory opinions obtained?
How will the administrative law judge conduct the hearing and issue the recommended decision?
How can a party request review by the Director of the administrative law judge's recommended decision?
What are the effects of exclusion?
How can an excluded provider be reinstated?