{"data":{"id":"us/5-cfr-890.908","jurisdiction":"us","citation":"5 CFR 890.908","heading":"Notification of HHS.","body":"An FEHB plan, under the oversight of OPM, will notify the Secretary of HHS, or the Secretary's designee, if the plan finds that:\n(a) A hospital knowingly and willfully collects, on a repeated basis, more than the amount determined to be equivalent to the Medicare part A payment under the DRG-based PPS.\n(b) A Medicare participating physician or supplier knowingly and willfully collects, on a repeated basis, more than the amount determined to be equivalent to the Medicare part B payment under the Medicare Participating Physician Fee Schedule.\n(c) A Medicare nonparticipating physician or supplier knowingly and willfully charges, on a repeated basis, more than the amount determined to be equivalent to the Medicare limiting charge amount.","path":["Title 5—Administrative Personnel","CHAPTER I—OFFICE OF PERSONNEL MANAGEMENT","SUBCHAPTER B—CIVIL SERVICE REGULATIONS","PART 890—FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM","Subpart I—Limit on Inpatient Hospital Charges, Physician Charges, and FEHB Benefit Payments"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-5.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:23:53Z","sha256":"ab42b96c2de8ac20fefb6c0ffc7509f62af2bb395e469fa72e0c29b61a1ce56a","source_id":"us-cfr","stale":true,"prev":"us/5-cfr-890.907","next":"us/5-cfr-890.909"},"notice":"GroundRules: Original legal text. Not legal advice."}