[Code of Federal Regulations]
[Title 5, Volume 2]
[Revised as of January 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 5CFR890.1061]

[Page 501]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
Subpart J_Administrative Sanctions Imposed Against Health Care Providers
 
Sec. 890.1061  Bases for penalties and assessments.

    (a) Improper claims. OPM may impose penalties and assessments on a 
provider if a claim presented by that provider for payment from FEHBP 
funds meets the criteria set forth in 5 U.S.C. 8902a(d)(1).
    (b) False or misleading statements. OPM may impose penalties and 
assessments on a provider who makes a false statement or 
misrepresentation as set forth in 5 U.S.C. 8902a(d)(2).
    (c) Failing to provide claims-related information. OPM may impose 
penalties and assessments on a provider who knowingly fails to provide 
claims-related information as otherwise required by law.