Section 1143.81. Provider misutilization  


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  • 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 Chapter 1101 (relating to general provisions).

The provisions in this § 1143.81 adopted August 27, 1982, effective August 28, 1982, 12 Pa.B. 2855.