US HB315 | 2011-2012 | 112th Congress
Status
Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on January 18 2011 - 25% progression, died in committee
Action: 2011-02-01 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on January 18 2011 - 25% progression, died in committee
Action: 2011-02-01 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]
Summary
Health Care Paperwork Reduction and Fraud Prevention Act - Establishes the Commission on Health Care Billing Codes and Forms Simplification which shall make recommendations regarding: (1) standardizing and simplifying credentialing and billing forms for health care claims; (2) reducing and simplifying billing codes; (3) reforming the Medicare regulatory and appeals processes to ensure that the Secretary of Health and Human Services provides appropriate guidance to providers for submitting Medicare claims and does not target inadvertent billing errors; and (4) updating electronic forms of the Centers for Medicare & Medicaid Services to ensure simplicity and privacy. Directs the Secretary of Health and Human Services to establish a process under which a physician may request from a carrier written assistance in addressing questionable codes and procedures under the Medicare program. Prohibits the Administrator from implementing any new evaluation and management (E&M) guidelines under the Medicare program unless the Administrator: (1) has provided for an assessment of the proposed guidelines by physicians; (2) has established a plan that contains specific goals, including a schedule for improving participation of physicians in such assessment; (3) has carried out a minimum of four pilot projects in at least four different regions to test E&M guidelines; and (4) finds that specified objectives will be met in the implementation of such guidelines. Sets forth provisions concerning: (1) physician participation and pilot program testing requirements and objectives for new E&M guidelines under Medicare; and (2) notice, administrative, and penalty requirements with respect to Medicare overpayments.
Title
Health Care Paperwork Reduction and Fraud Prevention Act
Sponsors
Rep. Mac Thornberry [R-TX] |
History
Date | Chamber | Action |
---|---|---|
2011-02-01 | House | Referred to the Subcommittee on Health. |
2011-01-25 | House | Referred to the Subcommittee on Trade. |
2011-01-18 | House | Referred to House Ways and Means |
2011-01-18 | House | Referred to House Energy and Commerce |
2011-01-18 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. |
Subjects
Administrative law and regulatory procedures
Administrative remedies
Department of Health and Human Services
Government information and archives
Health
Health information and medical records
Health personnel
Health programs administration and funding
Medicare
Right of privacy
Administrative remedies
Department of Health and Human Services
Government information and archives
Health
Health information and medical records
Health personnel
Health programs administration and funding
Medicare
Right of privacy
US Congress State Sources
Type | Source |
---|---|
Summary | https://www.congress.gov/bill/112th-congress/house-bill/315/all-info |
Text | https://www.congress.gov/112/bills/hr315/BILLS-112hr315ih.pdf |