US HB2156 | 2015-2016 | 114th Congress

Status

Sponsorship: Bipartisan Bill
Status: Introduced on April 30 2015 - 25% progression, died in committee
Action: 2015-05-18 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Medicare Audit Improvement Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act (SSAct) with respect to the practices of recovery audit contractors (RACs) under the Medicare program fin identifying underpayments and overpayments and recouping overpayments. Incentive payments to a RAC for recovery activities are prohibited for FY2015 and subsequent fiscal years. Payments for recovery activities shall be reduced, according to a sliding scale established by the Secretary of Health and Human Services, to any RAC with a complex audit denial rate at the end of a fiscal year, determined pursuant to a specified formula, that is .1% or greater. The one-year timely filing limit for certain rebilled SSAct title XVIII part B (Supplementary Medical Insurance) claims is eliminated, extending the deadline for the rebill to 180 days after final denial of the claim. A determination of whether inpatient hospital services or inpatient critical access hospital services furnished to an individual are reasonable and necessary shall now be based solely on information available to the admitting physician at the time of the inpatient admission of the individual for such services, as documented in the medical record.

Tracking Information

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Title

Medicare Audit Improvement Act of 2015

Sponsors

Rep. Sam Graves [R-MO]Sen. Adam Schiff [D-CA]Rep. Mike Bost [R-IL]Rep. Ann Wagner [R-MO]
Rep. Eric Crawford [R-AR]Rep. Gregg Harper [R-MS]Rep. Thomas MacArthur [R-NJ]Rep. Scott Tipton [R-CO]
Rep. Todd Rokita [R-IN]Rep. Michelle Lujan Grisham [D-NM]Rep. Rodney Davis [R-IL]Rep. Blake Farenthold [R-TX]
Rep. Louise Slaughter [D-NY]Rep. Tim Huelskamp [R-KS]Rep. Steve Israel [D-NY]Rep. Blaine Luetkemeyer [R-MO]
Rep. Alan Lowenthal [D-CA]Rep. Mike Quigley [D-IL]Rep. Richard Hanna [R-NY]Rep. Mike Pompeo [R-KS]
Rep. Norma Torres [D-CA]Rep. Julia Brownley [D-CA]Rep. Zoe Lofgren [D-CA]Rep. Peter King [R-NY]
Rep. Glenn Grothman [R-WI]Rep. Collin Peterson [D-MN]Rep. Rod Blum [R-IA]Rep. Billy Long [R-MO]
Rep. Robert Aderholt [R-AL]Rep. Reid Ribble [R-WI]Rep. Terri Sewell [D-AL]Rep. Judy Chu [D-CA]
Rep. Bill Johnson [R-OH]Rep. John Katko [R-NY]Sen. Cynthia Lummis [R-WY]Rep. Tim Walberg [R-MI]
Rep. Candice Miller [R-MI]Rep. Ami Bera [D-CA]Rep. Bob Goodlatte [R-VA]Rep. Scott Peters [D-CA]
Rep. Ruben Hinojosa [D-TX]Rep. Eric Swalwell [D-CA]Rep. Betty McCollum [D-MN]Rep. Kathleen Rice [D-NY]
Rep. Christopher Gibson [R-NY]Rep. Marc Veasey [D-TX]Rep. Steve King [R-IA]Rep. Bruce Westerman [R-AR]
Rep. Tulsi Gabbard [D-HI]Rep. Rodney Frelinghuysen [R-NJ]Rep. Lou Barletta [R-PA]Rep. Albio Sires [D-NJ]
Rep. Morgan Griffith [R-VA]Rep. Luke Messer [R-IN]Rep. Chellie Pingree [D-ME]Rep. Charles Dent [R-PA]
Rep. Gwen Graham [D-FL]Rep. Anna Eshoo [D-CA]Rep. Lee Zeldin [R-NY]Rep. Randy Hultgren [R-IL]
Sen. Kyrsten Sinema [I-AZ]Rep. Donald Norcross [D-NJ]Rep. Christopher Smith [R-NJ]Rep. David Young [R-IA]
Rep. Ryan Zinke [R-MT]Rep. Peter Visclosky [D-IN]Rep. Larry Bucshon [R-IN]Rep. Tom Rice [R-SC]
Rep. Frank LoBiondo [R-NJ]Sen. Ben Lujan [D-NM]Rep. John Garamendi [D-CA]Rep. Michael Conaway [R-TX]
Rep. Ann Kirkpatrick [D-AZ]Rep. Brian Babin [R-TX]Rep. Daniel Kildee [D-MI]Rep. Roger Williams [R-TX]
Rep. Kevin Yoder [R-KS]Rep. David Loebsack [D-IA]Rep. John Ratcliffe [R-TX]Rep. Randy Forbes [R-VA]
Rep. James Langevin [D-RI]Rep. Mark Takano [D-CA]Rep. Robert Brady [D-PA]Rep. Pete Aguilar [D-CA]
Rep. Bradley Byrne [R-AL]Rep. Will Hurd [R-TX]Rep. Ken Calvert [R-CA]Rep. Mike Coffman [R-CO]

History

DateChamberAction
2015-05-18HouseReferred to the Subcommittee on Health.
2015-05-01HouseReferred to the Subcommittee on Health.
2015-04-30HouseReferred to House Energy and Commerce
2015-04-30HouseReferred to House Ways and Means
2015-04-30HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2015-04-30HouseIntroduced in House

Same As/Similar To

HB3225 (Related) 2015-08-05 - Referred to the Subcommittee on Health.

Subjects


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