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20 C.F.R. §§ 10.820–10.823

4 sections in range

§10.820. How can an excluded provider request a hearing?

20 C.F.R. § 10.820

A request for a hearing shall be sent to the deciding official and shall contain:
(a)
A concise notice of the issues on which the provider desires to give evidence at the hearing;
(b)
Any request for the presentation of oral argument or evidence; and
(c)
Any request for a certification of questions concerning professional medical standards, medical ethics or medical regulation for an advisory opinion from a competent recognized professional organization or Federal, State or local regulatory body.
Notes, amendments, and revision history

Authority

Authority: 5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 31 U.S.C. 3716 and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218; Pub. L. 117-263.

Source

Source: 76 FR 37903, June 28, 2011, unless otherwise noted.

§10.821. How are hearings assigned and scheduled?

20 C.F.R. § 10.821

(a)
If the deciding official receives a timely request for hearing, the OWCP representative shall refer the matter to the Chief Administrative Law Judge of the Department of Labor, who shall assign it for an expedited hearing. The administrative law judge assigned to the matter shall consider the request for hearing, act on all requests therein, and issue a Notice of Hearing and Hearing Schedule for the conduct of the hearing. A copy of the hearing notice shall be served on the provider by certified mail, return receipt requested. The Notice of Hearing and Hearing Schedule shall include:
(1)
A ruling on each item raised in the request for hearing;
(2)
A schedule for the prompt disposition of all preliminary matters, including requests for the certification of questions to advisory bodies; and
(3)
A scheduled hearing date not less than 30 days after the date the schedule is issued, and not less than 15 days after the scheduled conclusion of preliminary matters, provided that the specific time and place of the hearing may be set on 10 days' notice.
(b)
The provider is entitled to be heard on any matter placed in issue by his or her response to the Notice of Intent to Exclude, and may designate “all issues” for purposes of hearing. However, a specific designation of issues is required if the provider wishes to interpose affirmative defenses, or request the issuance of subpoenas or the certification of questions for an advisory opinion.
Notes, amendments, and revision history

Authority

Authority: 5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 31 U.S.C. 3716 and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218; Pub. L. 117-263.

Source

Source: 76 FR 37903, June 28, 2011, unless otherwise noted.

§10.822. How are subpoenas or advisory opinions obtained?

20 C.F.R. § 10.822

(a)
The provider may apply to the administrative law judge for the issuance of subpoenas upon a showing of good cause therefor.
(b)
A certification of a request for an advisory opinion concerning professional medical standards, medical ethics or medical regulation to a competent recognized or professional organization or Federal, State or local regulatory agency may be made:
(1)
As to an issue properly designated by the provider, in the sound discretion of the administrative law judge, provided that the request will not unduly delay the proceedings;
(2)
By OWCP on its own motion either before or after the institution of proceedings, and the results thereof shall be made available to the provider at the time that proceedings are instituted or, if after the proceedings are instituted, within a reasonable time after receipt. The opinion, if rendered by the organization or agency, is advisory only and not binding on the administrative law judge.
Notes, amendments, and revision history

Authority

Authority: 5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 31 U.S.C. 3716 and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218; Pub. L. 117-263.

Source

Source: 76 FR 37903, June 28, 2011, unless otherwise noted.

§10.823. How will the administrative law judge conduct the hearing and issue the recommended decision?

20 C.F.R. § 10.823

(a)
To the extent appropriate, proceedings before the administrative law judge shall be governed by 29 CFR part 18.
(b)
The administrative law judge shall receive such relevant evidence as may be adduced at the hearing. Parties to the hearing are the provider and OWCP. Evidence shall be presented under oath, orally or in the form of written statements. The administrative law judge shall consider the Notice and Response, including all pertinent documents accompanying them, and may also consider any evidence which refers to the provider or to any claim with respect to which the provider has provided medical services, hospital services, or medical services and supplies, and such other evidence as the administrative law judge may determine to be necessary or useful in evaluating the matter.
(c)
All hearings shall be recorded and the original of the complete transcript shall become a permanent part of the official record of the proceedings.
(d)
Pursuant to 5 U.S.C. 8126 and 29 CFR part 18, the administrative law judge may issue subpoenas, administer oaths, and examine witnesses with respect to the proceedings.
(e)
At the conclusion of the hearing, the administrative law judge shall issue a recommended decision and cause it to be served on all parties to the proceeding, their representatives and the Director of OWCP.
Notes, amendments, and revision history

Authority

Authority: 5 U.S.C. 301, 8102a, 8103, 8145 and 8149; 31 U.S.C. 3716 and 3717; Reorganization Plan No. 6 of 1950, 15 FR 3174, 64 Stat. 1263; Secretary of Labor's Order No. 10-2009, 74 FR 218; Pub. L. 117-263.

Source

Source: 76 FR 37903, June 28, 2011, unless otherwise noted.