Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 6234 (September 28, 2024).

55 Pa. Code § 1127.81. Provider misutilization.

ADMINISTRATIVE SANCTIONS


§ 1127.81. Provider misutilization.

 Providers determined to have billed for services inconsistent with this part, to have provided services outside the scope of customary standards of medical practice or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in § §  1101.82—1101.84 (relating to administrative procedures).

Source

   The provisions of this §  1127.81 adopted January 16, 1987, effective retroactively to July 1, 1986, 17 Pa.B. 267.



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