55 Pa. Code § 1126.81
Current through Register Vol. 54, No. 49, December 7, 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 patient's diagnosis or procedures performed during the period of hospitalization or otherwise violated the standards in the provider agreement, the provider is subject to the sanctions in Chapter 1101.
55 Pa. Code § 1126.81