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7 AAC 105.290. Reports requested by the department. Upon request by the department, a hospital or physician shall provide a full operative report, interpretation of any film, or a pathologist’s report on tissue removed. The department will not pay a hospital or physician provider for a procedure that requires an operative report or explanation until that report or explanation is received. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Article 3. Provider Sanctions and Remedies. Rule 7 AAC 105.400. Grounds for sanctioning providers 7 AAC 105.410. Sanctions 7 AAC 105.420. Imposition of sanction 7 AAC 105.430. Scope of sanction 7 AAC 105.440. Notice of sanction 7 AAC 105.450. Provider education 7 AAC 105.460. Appeal of sanction 7 AAC 105.470. Restrictions on payments 7 AAC 105.480. Withholding of payments 7 AAC 105.490. Definitions 7 AAC 105.400. Grounds for sanctioning providers. The department may impose sanctions for one or more of the following reasons:

(1) presenting or causing to be presented for payment any false or fraudulent claim for services or supplies;

(2) submitting or causing to be submitted false information for the purpose of obtaining greater compensation than that to which the provider is legally entitled, including charges in excess of a rate established by the department or the provider’s usual and customary charges;