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Preventing Hospital Overbilling of Medicare Act

12/20/2024, 9:06 AM

Summary of Bill HR 2863

Bill 118 HR 2863, also known as the Preventing Hospital Overbilling of Medicare Act, aims to address the issue of hospitals overbilling Medicare for services provided to patients. The bill was introduced in the House of Representatives and is currently under consideration by the Committee on Ways and Means.

The main purpose of this bill is to establish stricter guidelines and regulations for hospitals when billing Medicare for services rendered to patients. The bill seeks to prevent hospitals from overcharging Medicare for services that were not actually provided or were unnecessary. This is important because Medicare is a government-funded program that provides healthcare coverage to millions of Americans, and it is crucial that taxpayer dollars are being used efficiently and effectively.

Some key provisions of the bill include requiring hospitals to provide detailed documentation and justification for the services billed to Medicare, implementing audits and reviews of hospital billing practices, and imposing penalties for hospitals found to be overbilling Medicare. The bill also aims to increase transparency and accountability in hospital billing practices to ensure that Medicare funds are being used appropriately. Overall, the Preventing Hospital Overbilling of Medicare Act is a crucial piece of legislation that seeks to protect taxpayer dollars and ensure that Medicare beneficiaries receive the care they need without being overcharged. It is currently being reviewed by the Committee on Ways and Means, and its passage would be a significant step towards improving the integrity of the Medicare program.

Congressional Summary of HR 2863

Preventing Hospital Overbilling of Medicare Act

This bill repeals certain exceptions to site-neutral payments with respect to Medicare payments to an off-campus outpatient department of a health care provider. It also requires providers to use separate, unique health identifiers when submitting a claim to a health insurance issuer for services provided at an off-campus outpatient department.

Current Status of Bill HR 2863

Bill HR 2863 is currently in the status of Bill Introduced since April 25, 2023. Bill HR 2863 was introduced during Congress 118 and was introduced to the House on April 25, 2023.  Bill HR 2863's most recent activity was Referred to the Subcommittee on Health. as of December 17, 2024

Bipartisan Support of Bill HR 2863

Total Number of Sponsors
2
Democrat Sponsors
0
Republican Sponsors
2
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
0
Republican Cosponsors
1
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 2863

Primary Policy Focus

Health

Potential Impact Areas

- Administrative law and regulatory procedures
- Department of Health and Human Services
- Health care costs and insurance
- Home and outpatient care
- Medicare

Alternate Title(s) of Bill HR 2863

Preventing Hospital Overbilling of Medicare Act
Preventing Hospital Overbilling of Medicare Act
To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to address incorrect billing by off-campus hospital locations, and for other purposes.

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