§ 1001.201 Conviction relating to program or health care fraud
§ 1001.301 Conviction relating to obstruction of an investigation or audit
§ 1001.401 Conviction relating to controlled substances
§ 1001.501 License revocation or suspension
§ 1001.601 Exclusion or suspension under a Federal or State health care program
§ 1001.701 Excessive claims or furnishing of unnecessary or substandard items and services
§ 1001.801 Failure of HMOs and CMPs to furnish medically necessary items and services
§ 1001.901 False or improper claims
§ 1001.951 Fraud and kickbacks and other prohibited activities
§ 1001.952 Exceptions
§ 1001.1001 Exclusion of entities owned or controlled by a sanctioned person
§ 1001.1101 Failure to disclose certain information
§ 1001.1201 Failure to provide payment information
§ 1001.1301 Failure to grant immediate access
§ 1001.1401 Violations of PPS corrective action
§ 1001.1501 Default of health education loan or scholarship obligations
§ 1001.1551 Exclusion of individuals with ownership or control interest in sanctioned entities
§ 1001.1552 Making false statements or misrepresentation of material facts
§ 1001.1601 Violations of the limitations on physician charges
§ 1001.1701 Billing for services of assistant at surgery during cataract operations

Terms Used In CFR > Title 42 > Chapter V > Subchapter B > Part 1001 > Subpart C - Permissive Exclusions

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Donor: The person who makes a gift.
  • Embezzlement: In most states, embezzlement is defined as theft/larceny of assets (money or property) by a person in a position of trust or responsibility over those assets. Embezzlement typically occurs in the employment and corporate settings. Source: OCC
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • Statute: A law passed by a legislature.