Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1130 - HOSPICE SERVICES
ADMINISTRATIVE SANCTIONS
Section 1130.91 - Provider misutilization
Universal Citation: 55 PA Code ยง 1130.91
Current through Register Vol. 54, No. 12, March 23, 2024
If the Department determines that a provider billed for services inconsistent with this chapter and Chapter 1101 (relating to general provisions), provided incorrect information on the billing invoice regarding a recipient's diagnosis or the services provided during the period the recipient was under the care of the hospice or otherwise violated the standards set forth in the provider agreement, the provider is subject to the sanctions described in Chapter 1101.
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