Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1243 - OUTPATIENT LABORATORY SERVICES
ADMINISTRATIVE SANCTIONS
Section 1243.81 - Provider misutilization
Universal Citation: 55 PA Code ยง 1243.81
Current through Register Vol. 54, No. 12, March 23, 2024
Providers determined to have billed for services inconsistent with MA Program regulations, to have provided services outside the scope of customary standards of laboratory practice, or to have otherwise violated the standard set forth in the provider agreement, are subject to the sanctions imposed in Chapter 1101 (relating to general provisions).
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