Section 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).

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